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kkqueen14 kkqueen14
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Posts: 317
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6 years ago
A nurse assesses clients who are at risk for diabetes mellitus. Which client is at greatest risk?
 
  a. A 29-year-old Caucasian
  b. A 32-year-old African-American
  c. A 44-year-old Asian
  d. A 48-year-old American Indian

Question 2

A nurse teaches a client who is diagnosed with diabetes mellitus. Which statement should the nurse include in this client's plan of care to delay the onset of microvascular and macrovascular complications?
 
  a. Maintain tight glycemic control and prevent hyperglycemia.
  b. Restrict your fluid intake to no more than 2 liters a day.
  c. Prevent hypoglycemia by eating a bedtime snack.
  d. Limit your intake of protein to prevent ketoacidosis.

Question 3

A nurse cares for a client who has a family history of diabetes mellitus. The client states, My father has type 1 diabetes mellitus. Will I develop this disease as well? How should the nurse respond?
 
  a. Your risk of diabetes is higher than the general population, but it may not occur.
  b. No genetic risk is associated with the development of type 1 diabetes mellitus.
  c. The risk for becoming a diabetic is 50 because of how it is inherited.
  d. Female children do not inherit diabetes mellitus, but male children will.

Question 4

A nurse assesses a client who has a 15-year history of diabetes and notes decreased tactile sensation in both feet. Which action should the nurse take first?
 
  a. Document the finding in the client's chart.
  b. Assess tactile sensation in the client's hands.
  c. Examine the client's feet for signs of injury.
  d. Notify the health care provider.

Question 5

After teaching a young adult client who is newly diagnosed with type 1 diabetes mellitus, the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the need for eye examinations?
 
  a. At my age, I should continue seeing the ophthalmologist as I usually do.
  b. I will see the eye doctor when I have a vision problem and yearly after age 40.
  c. My vision will change quickly. I should see the ophthalmologist twice a year.
  d. Diabetes can cause blindness, so I should see the ophthalmologist yearly.
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Replies
wrote...
6 years ago
The answer to question 1

ANS: D
Diabetes is a particular problem among African Americans, Hispanics, and American Indians. The incidence of diabetes increases in all races and ethnic groups with age. Being both an American Indian and middle-aged places this client at highest risk.

The answer to question 2

ANS: A
Hyperglycemia is a critical factor in the pathogenesis of long-term diabetic complications. Maintaining tight glycemic control will help delay the onset of complications. Restricting fluid intake is not part of the treatment plan for clients with diabetes. Preventing hypoglycemia and ketosis, although important, are not as important as maintaining daily glycemic control.

The answer to question 3

ANS: A
Risk for type 1 diabetes is determined by inheritance of genes coding for HLA-DR and HLA-DQ tissue types. Clients who have one parent with type 1 diabetes are at increased risk for its development. Diabetes (type 1) seems to require interaction between inherited risk and environmental factors, so not everyone with these genes develops diabetes. The other statements are not accurate.

The answer to question 4

ANS: C
Diabetic neuropathy is common when the disease is of long duration. The client is at great risk for injury in any area with decreased sensation because he or she is less able to feel injurious events. Feet are common locations for neuropathy and injury, so the nurse should inspect them for any signs of injury. After assessment, the nurse should document findings in the client's chart. Testing sensory perception in the hands may or may not be needed. The health care provider can be notified after assessment and documentation have been completed.

The answer to question 5

ANS: D
Diabetic retinopathy is a leading cause of blindness in North America. All clients with diabetes, regardless of age, should be examined by an ophthalmologist (rather than an optometrist or optician) at diagnosis and at least yearly thereafter.
kkqueen14 Author
wrote...
6 years ago
Thank you Jesus, my teacher is bad at explaining
wrote...
6 years ago
Praise the LORD ha ha No worries
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