The nurse counsels the 30-year-old woman with type 2 diabetes who is overweight and noncompliant that control of diabetes would most improve if she were to:
eat a high-protein diet
lose weight
take insulin
take more metformin (Glucophage)
The Correct Answer is B
A. Eat a high-protein diet: A high-protein diet is not specifically recommended for improving blood glucose control in type 2 diabetes. A balanced diet with a focus on carbohydrates, fiber, and portion control is more effective for long-term management.
B. Lose weight: Weight loss is one of the most effective ways to improve blood sugar control in type 2 diabetes. It reduces insulin resistance, enhances insulin sensitivity, and leads to better overall glucose management.
C. Take insulin: Insulin is typically not the first treatment for type 2 diabetes, especially in individuals who are overweight. Lifestyle changes, including diet and exercise, are generally prioritized before moving to insulin therapy.
D. Take more metformin (Glucophage): While metformin is an important medication, weight loss through lifestyle modifications often has a more significant and lasting impact on blood sugar control than simply increasing the dosage of medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hypothyroidism: Low levels of T4 and T3, combined with symptoms like weight gain, tiredness, and bradycardia, are consistent with hypothyroidism. Hypothyroidism results from an underactive thyroid gland, which produces insufficient thyroid hormones, leading to metabolic slowing and the symptoms described.
B. Hyperthyroidism: Hyperthyroidism is associated with high levels of thyroid hormones (T4 and T3), which leads to symptoms like weight loss, tachycardia (fast heart rate), nervousness, and heat intolerance, none of which are present in this client.
C. Hypokalemia: Hypokalemia (low potassium levels) typically presents with symptoms such as muscle weakness, fatigue, and cramping, but it does not explain the low thyroid hormone levels or the other signs observed in this case.
D. Tetany: Tetany is caused by hypocalcemia (low calcium levels) and is characterized by muscle spasms and tingling sensations. It is not associated with low thyroid hormone levels.
Correct Answer is B
Explanation
A. Reduce serum lipid levels: While managing lipid levels is important for clients with diabetes, it is not the primary goal of medical nutrition therapy (MNT). The main focus is on blood glucose control rather than just lipid management.
B. Maintain as near-normal a blood glucose level as possible: The primary goal of MNT for clients with diabetes mellitus is to achieve and maintain near-normal blood glucose levels to prevent complications such as retinopathy, neuropathy, and cardiovascular disease.
C. Improve health through optimal nutrition: While optimal nutrition is important for overall health, the main objective of MNT in diabetes is focused on blood glucose control. Proper nutrition contributes to overall health, but it is not the sole goal.
D. Wean insulin-dependent clients with diabetes from insulin through diet control: While diet control can help manage blood glucose, it is unlikely to completely eliminate the need for insulin in insulin-dependent clients with type 1 diabetes.
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.