A 54-year-old patient admitted with type 2 diabetes asks the nurse what "type 2" means.
What is the most appropriate response by the nurse?
"With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased."
"With type 2 diabetes, the body produces autoantibodies that destroy B-cells in the pancreas."
"With type 2 diabetes, the patient is totally dependent on an outside source of insulin."
"With type 2 diabetes, the body of the pancreas becomes inflamed."
The Correct Answer is A
Choice A rationale: With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased. This means that the pancreas does not produce enough insulin, and the cells of the body do not respond well to the insulin that is available. Insulin is a hormone that helps the body use glucose (sugar) for energy. Without enough insulin or with insulin resistance, glucose builds up in the blood, leading to high blood sugar levels and various complications.
Choice B rationale: This statement describes Type 1 diabetes, where the immune system destroys insulin-producing cells.
Choice C rationale: This describes type 1 diabetes, not type 2 diabetes. People with type 2 diabetes may or may not need to take insulin, depending on how well they can control their blood sugar levels with diet, exercise, and oral medications.
Choice D rationale: This refers to pancreatitis, which is a condition where the pancreas becomes inflamed due to infection, injury, or alcohol abuse. Pancreatitis can cause
severe abdominal pain, nausea, vomiting, fever, and elevated levels of pancreatic enzymes in the blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Gastrointestinal reflux disease is not typically a contraindication for sumatriptan.
Choice B rationale: Mild emphysema is not typically a contraindication for sumatriptan.
Choice C rationale: Hyperthyroidism is not typically a contraindication for sumatriptan.
Choice D rationale: Sumatriptan, a medication used for migraines, may elevate blood pressure, so it would be questionable for a client with hypertension.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale: This is a normal value, indicating normal renal function. The client does not have any signs of kidney damage or impairment.
Choice B rationale: This is an elevated value, indicating an infection or inflammation in the body. Acute appendicitis is a common cause of increased white blood cells, as the appendix becomes inflamed and infected. This finding requires immediate follow-up to monitor the client's condition and prevent complications such as perforation or peritonitis.
Choice C rationale: This is a high value, indicating impaired renal function or dehydration. The client may have decreased urine output due to vomiting and fluid loss, or may have underlying kidney problems. This finding requires immediate follow-up to assess the client's hydration status and renal function, and to provide appropriate fluid and electrolyte replacement.
Choice D rationale: This is a sign of peritoneal irritation, which may indicate that the appendix has ruptured or is close to rupturing. This is a medical emergency that requires immediate surgical intervention to remove the appendix and prevent sepsis and shock.
Choice E rationale: This is a low value, indicating hypokalemia or low potassium levels in the blood. The client may have lost potassium due to vomiting and fluid loss, or may have underlying electrolyte imbalances. This finding requires immediate follow-up to assess the client's cardiac function and muscle strength, and to provide appropriate potassium supplementation.
Choice F rationale: These are common symptoms of acute appendicitis, as the inflammation and infection of the appendix cause irritation of the gastrointestinal tract. These symptoms do not require immediate follow-up, but they should be managed with antiemetics and fluids to prevent dehydration and electrolyte imbalances.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.