An adult client newly diagnosed with type 2 diabetes mellitus asks a nurse to explain how he developed the condition. Which of the following responses should the nurse make?

Your body will continue producing too much insulin without medicine to counteract it.

Your body doesn’t process glucose well.

Your body’s hemoglobin is not binding to the sugar you consume.

Your body’s immune system has destroyed cells in your pancreas.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Type 2 diabetes is characterized by insulin resistance, not the overproduction of insulin. Over time, the pancreas may produce less insulin, but the primary issue is the body’s inability to use insulin effectively.

Choice B rationale
Type 2 diabetes involves the body’s inability to process glucose properly due to insulin resistance. This leads to elevated blood glucose levels and various complications if not managed effectively.
Choice C rationale
Hemoglobin binding to sugar is related to the measurement of HbA1c, which reflects average blood glucose levels over time. It is not a cause of type 2 diabetes.
Choice D rationale
The destruction of pancreatic cells is a characteristic of type 1 diabetes, an autoimmune condition. Type 2 diabetes is primarily due to insulin resistance and is not caused by an autoimmune response.

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Correct Answer is C

Explanation

Choice A rationale

COPD is incorrect. Chronic obstructive pulmonary disease (COPD) is a respiratory condition and is not a risk factor for urinary tract infections (UTIs). UTIs are typically caused by bacterial infections in the urinary tract.
Choice B rationale
Anemia is incorrect. Anemia is a condition characterized by a deficiency of red blood cells or hemoglobin. It is not a direct risk factor for UTIs. UTIs are primarily caused by bacterial infections.
Choice C rationale
Diabetes mellitus is correct. Diabetes mellitus is a significant risk factor for UTIs. High blood sugar levels can create an environment that promotes bacterial growth in the urinary tract. Additionally, individuals with diabetes may have impaired immune function, making them more susceptible to infections.
Choice D rationale
Osteoporosis is incorrect. Osteoporosis is a condition characterized by weakened bones and an increased risk of fractures. It is not a risk factor for UTIs. UTIs are primarily caused by bacterial infections in the urinary tract.

A. “I should avoid taking bubble baths.”. B. “I will need to empty my bladder after having sexual intercourse.”. C. “I will need to wipe my perineal area from back to front after urination.”. D. “I need to drink at least 8 full glasses of liquid each day.”.

Correct Answer is C

Explanation

Choice A rationale
Avoiding bubble baths is a correct measure for preventing UTIs. Bubble baths can irritate the urethra and increase the risk of infection by allowing bacteria to enter the urinary tract. The warm, soapy water can disrupt the natural balance of bacteria in the genital area, making it easier for harmful bacteria to thrive and cause infections.
Choice B rationale
Voiding after sexual intercourse is a correct measure for preventing UTIs. During sexual activity, bacteria can be introduced into the urethra. By urinating after intercourse, the client can help flush out any bacteria that may have entered the urinary tract, reducing the risk of infection.
Choice C rationale
Wiping the perineal area from back to front after urination is incorrect and indicates the need for further teaching. This practice can transfer bacteria from the anal area to the urethra, increasing the risk of UTIs. The correct method is to wipe from front to back to prevent the spread of bacteria.
Choice D rationale
Drinking at least 8 full glasses of liquid each day is a correct measure for preventing UTIs. Adequate hydration helps flush bacteria from the urinary tract, reducing the risk of infection. Drinking plenty of fluids ensures that the bladder is emptied regularly, which helps prevent the buildup of bacteria.

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An adult client newly diagnosed with type 2 diabetes mellitus asks a nurse to explain how he developed the condition. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching?

Correct Answer is C

Explanation

A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?

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