Mr. G was newly diagnosed with type 2 Diabetes Mellitus, he asks the nurse what "type 2” means in relation to diabetes. The nurse to the patient that type 2 diabetes differs from type 1 diabetes in that with type 2 diabetes:
The patient is totally dependent on an outside source of insulin.
The insulin precursor that is secreted by the pancreas is not activated by the liver.
There is decreased insulin secretion and cellular resistance to insulin that is produced.
The immune system destroys the pancreatic insulin-producing cells.
The Correct Answer is C
Type 2 diabetes mellitus is a metabolic disorder characterized by high blood sugar levels resulting from decreased insulin secretion and/or increased insulin resistance. In type 2 diabetes, the body's cells become resistant to insulin, which is a hormone that helps regulate blood sugar levels by allowing glucose to enter cells for energy. As a result, the pancreas produces more insulin to compensate for the increased demand, but over time, the pancreas may not be able to keep up, and blood sugar levels rise.
Unlike type 1 diabetes, which is an autoimmune disorder in which the body's immune system destroys the insulin-producing cells in the pancreas, people with type 2 diabetes still produce insulin, but their body is not able to use it effectively. Therefore, type 2 diabetes can be managed through lifestyle changes, such as diet and exercise, and/or medication, such as oral hypoglycemic agents or insulin therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
GERD can increase the risk of aspiration (inhalation of stomach contents into the lungs), which can cause respiratory issues, including abnormal breath sounds. In these cases, monitoring of breath sounds may be more appropriate than monitoring of bowel sounds.
Bowel sounds are not typically monitored for GERD patients as GERD is a condition that affects the esophagus and the stomach, not the intestines. GERD is caused by the reflux of stomach contents into the esophagus, which can cause symptoms such as heartburn and regurgitation.
Abdominal girth is not routinely monitored for GERD patients as it is not typically related to the condition. GERD is a disorder that affects the esophagus and stomach and does not typically cause significant changes in abdominal size or girth. In rare cases, GERD can be complicated by a condition known as a para oesophageal hernia, which can cause a visible bulge in the abdomen. In these cases, monitoring of abdominal size and shape may be necessary.
The apical pulse is not routinely monitored for GERD patients as it is not directly related to the condition. GERD is a disorder that affects the digestive system, specifically the esophagus and stomach and does not typically have an impact on heart rate or rhythm.
Correct Answer is C
Explanation
The correct answer is c. I will eat foods high in potassium because the diuretics cause potassium loss.
Rationale for Choice A:
- Statement:"I should weigh myself daily and report any sudden weight loss or gain."
- Rationale:This statement is correct.It's crucial for patients with SIADH to monitor their weight daily as even slight fluctuations can signal fluid imbalances.Sudden weight gain can indicate fluid retention,while sudden weight loss might suggest dehydration.Both scenarios warrant medical attention.
Rationale for Choice B:
- Statement:"I need to limit my fluid intake to no more than 1 quart of liquids a day."
- Rationale:This statement is also correct.Fluid restriction is a cornerstone of SIADH management.By limiting fluid intake,patients can help prevent the buildup of excess fluid in the body,which can lead to complications such as hyponatremia (low sodium levels in the blood) and edema.
Rationale for Choice C:
- Statement:"I will eat foods high in potassium because the diuretics cause potassium loss."
- Rationale:This statement is incorrect.While some diuretics used in the treatment of SIADH can indeed cause potassium loss,this is not a universal side effect.Furthermore,increasing potassium intake without medical supervision can be dangerous,potentially leading to hyperkalemia (high potassium levels in the blood).It's essential for patients to consult with their healthcare providers for individualized guidance on potassium intake.
Rationale for Choice D:
- Statement:"I need to shop for foods that are low in sodium and avoid adding salt to foods."
- Rationale:This statement is correct.A low-sodium diet is often recommended for patients with SIADH to help manage fluid balance and prevent hyponatremia.Restricting sodium intake can reduce fluid retention and help maintain appropriate sodium levels in the blood.
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