The nurse is developing a staff education program about diabetes mellitus, type 2. Which of the following statements should the nurse include in the program?

"Elevated blood sugar level causes decreased thirst and appetite."

"Increased appetite is due to osmotic factors resulting from high blood sugar.

"Increased appetite is caused by the increased anabolic state due to high blood sugar.

"Frequent urination seen in diabetes is due to an elevated blood sugar level."

Answer and Explanation

The Correct Answer is D

A. Elevated blood sugar (hyperglycemia) typically causes increased thirst (polydipsia) and increased appetite (polyphagia), not decreased thirst and appetite. This occurs due to the body’s attempt to compensate for the excess glucose in the blood.
B. While osmotic factors (such as increased glucose in the urine) contribute to dehydration and increased thirst, increased appetite (polyphagia) in diabetes is primarily caused by the body's inability to effectively use glucose, leading to a sensation of hunger despite high blood sugar.
C. The increased appetite in diabetes is related to the body’s inability to properly utilize glucose, not an anabolic state. The body compensates for the perceived lack of energy, leading to hunger.
D. Frequent urination (polyuria) in diabetes is due to the osmotic diuresis caused by elevated blood sugar levels. When blood glucose levels exceed the renal threshold, glucose spills into the urine, which pulls water along with it, leading to increased urination.

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 A

Explanation

A. Foot care is crucial for individuals with diabetes due to the increased risk of neuropathy and poor circulation. Daily inspection for cuts, blisters, or other injuries is vital to prevent infections and complications, such as diabetic ulcers or amputations.
B. Heating pads should not be used by people with diabetes, as they may not be able to feel the heat due to diabetic neuropathy. This increases the risk of burns and injury. It is safer to use other methods for warming hands and feet, such as wearing socks or gloves.
C. People with diabetes are at an increased risk for infections, including pneumonia. The pneumonia vaccine (PPSV23 and/or PCV13) is recommended for individuals with diabetes to help reduce the risk of pneumonia. This statement is false.
D. People with diabetes should have regular eye examinations, but they should be scheduled annually, not every 5 years. Diabetes can lead to diabetic retinopathy, which can cause vision loss if not monitored and treated promptly. Annual eye exams are recommended to detect any changes early.

A. magnesium hydroxide (Milk of Magnesia) B. amitriptyline (Elavil) C. acetaminophen (Tylenol) D. gabapentin (Neurontin)

Correct Answer is A

Explanation

A. Magnesium hydroxide can interfere with the absorption of levothyroxine (Synthroid) and reduce its effectiveness. The nurse should notify the healthcare provider if the client is taking magnesium hydroxide or any other antacid that contains magnesium, calcium, or aluminum because these can decrease the absorption of levothyroxine.
B. While amitriptyline (an antidepressant) may interact with other medications, it does not typically interfere with levothyroxine. However, the nurse should always be cautious about potential interactions, especially with medications that affect the central nervous system.
C. Acetaminophen (Tylenol) does not typically interact with levothyroxine. It is safe to take acetaminophen while on levothyroxine.
D. Gabapentin (Neurontin) does not generally interfere with levothyroxine absorption or action. However, as with any medication, the nurse should be aware of other potential interactions based on the client’s overall health.

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

The nurse is developing a staff education program about diabetes mellitus, type 2. Which of the following statements should the nurse include in the program?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge teaching to a client with diabetes mellitus, type 2. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

The nurse is reviewing the medication list with a client with hypothyroidism who is prescribed levothyroxine (Synthroid). The nurse should notify the health care provider if the client reported taking which of the following medications?

Correct Answer is A

Explanation

The nurse is teaching a client with epilepsy who has a new prescription for phenytoin (Dilantin). Which of the following instructions should the nurse include in the teaching?

The nurse is caring for a client during treatment of myxedema and the client reports experiencing chest pain. Which of the following actions should be a priority for the nurse to take?

The nurse is preparing a conference about hypothyroidism for a group of clients. Which of the following information should the nurse include in the conference?

The nurse is caring for a client with late stage Alzheimer's disease. Which of the following behaviors should the nurse expect the client to demonstrate?

The nurse is screening clients for an increased risk of thyroid cancer. Which of the following client's would have the highest risk?

The nurse is planning care for a client experiencing headaches. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply.