A nurse is caring for a client who was diagnosed with type 2 diabetes mellitus 2 years ago. The client reports following the recommended diet and exercising four times per week. Which of the following findings indicates that the client's beta cells are restoring normal function?

HbA1c = 5.6%

Client reports smoking cessation

Weight gain of 5 lb

Fasting blood glucose of 140 mg/Dl

Answer and Explanation

The Correct Answer is A

A. HbA1c = 5.6%. HbA1c measures the average blood glucose levels over the past 2-3 months. A level of 5.6% is within the normal range (below 5.7%), indicating good glycemic control. This suggests that the client’s diabetes is well managed, potentially indicating that the beta cells are functioning well and insulin sensitivity has improved.

B. Client reports smoking cessation: While smoking cessation is very beneficial for overall health and can improve diabetes management, it does not directly indicate beta cell function restoration. It is more related to reducing cardiovascular risks and improving long-term health outcomes.

C. Weight gain of 5 lb: Weight gain is not typically a sign of improving beta cell function. In fact, weight gain can sometimes indicate poor control of diabetes, as insulin resistance can worsen with increased weight. It is not a direct measure of beta cell activity.

D. Fasting blood glucose of 140 mg/dL: A fasting blood glucose of 140 mg/dL is above the normal range and suggests poor glycemic control, indicating that beta cells are not functioning adequately to maintain normal glucose levels. This value points to ongoing issues with insulin resistance or secretion.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Notify the provider of a weight gain of 0.5 kg (1 lb) in a week: A weight gain of 0.5 kg (1 lb) in a week can indicate fluid retention and worsening heart failure. Clients should be instructed to report such changes promptly to their healthcare provider to adjust treatment and prevent complications.

B. Exercise at least three times per week: Regular exercise is important for maintaining overall health and improving heart function. However, it is generally recommended to consult a healthcare provider to tailor an exercise regimen suitable for the client's condition.

C. Take diuretics early in the morning and before bedtime: Diuretics should typically be taken in the morning to avoid nocturia (frequent nighttime urination) and disruption of sleep. Taking them before bedtime is not advised due to the increased risk of sleep disturbance.

D. Take naproxen for generalized discomfort.: NSAIDs like naproxen are generally not recommended for clients with heart failure because they can cause sodium and fluid retention, potentially worsening heart failure symptoms.

A. Carvedilol B. Isosorbide dinitrate C. Fluticasone D. Captopril

Correct Answer is A

Explanation

A. Carvedilol: Carvedilol is a beta-blocker that can worsen asthma symptoms because it can cause bronchoconstriction. Non-selective beta-blockers like carvedilol can exacerbate respiratory conditions and should be used with caution in asthmatic patients.

B. Isosorbide dinitrate: Isosorbide dinitrate is a vasodilator used to reduce the workload on the heart by dilating blood vessels. It does not affect respiratory function and is safe for use in clients with asthma.

C. Fluticasone: Fluticasone is a corticosteroid used to manage asthma by reducing inflammation in the airways. It is beneficial for clients with asthma and does not require clarification.

D. Captopril: Captopril is an ACE inhibitor used to treat heart failure. It does not directly affect asthma and is generally safe for use in clients with respiratory conditions.

View Question and Answer

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

A nurse is caring for a client who was diagnosed with type 2 diabetes mellitus 2 years ago. The client reports following the recommended diet and exercising four times per week. Which of the following findings indicates that the client's beta cells are restoring normal function?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?

Correct Answer is A

Explanation

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?

A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

A nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?

A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider?

A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?

A nurse in an emergency department is planning care for a client who is having an acute myocardial infarction (MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the client's pain and anxiety?

A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications?

A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 48 mg/dL on the glucometer, he should give the client which of the following?