The nurse is evaluating a 45-year-old patient diagnosed with type 2 diabetes mellitus. Which symptom reported by the patient is considered one of the classic clinical manifestations of diabetes?

Gradual weight gain

Excessive thing

Recurrent blurred vision

Overwhelming fatigue

Answer and Explanation

The Correct Answer is B

A. Gradual weight gain is not a classic symptom of type 2 diabetes. Weight loss or difficulty losing weight is more commonly associated with uncontrolled diabetes.
B. Excessive thirst (polydipsia) is one of the classic clinical manifestations of diabetes, along with polyuria (frequent urination), polyphagia (increased hunger), and unexplained weight loss. It occurs as the body tries to rid itself of excess glucose through urine.
C. Recurrent blurred vision is another common symptom of diabetes, caused by changes in blood sugar levels affecting the eyes. However, it is not typically described as one of the classic clinical manifestations.
D. Overwhelming fatigue can also be a symptom of uncontrolled diabetes, as high blood sugar levels can make it difficult for the body to use glucose for energy. However, excessive thirst is a more defining symptom.

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Correct Answer is B

Explanation

A. Warming the finger before puncturing it can help increase blood flow and make the process easier. This is an appropriate technique for self-monitoring of blood glucose (SMBG).
B. The center of the finger pad is not the best site for blood glucose testing. The side of the fingertip should be used instead to avoid discomfort and to prevent injury to the nerve endings found in the center of the pad.
C. Washing hands with soap and water is the proper technique for cleansing the hands before performing SMBG to reduce the risk of contamination.
D. A blood glucose level of 110 mg/dL is within the normal range for a non-diabetic person, and could indicate good control for a diabetic. This would be considered an appropriate response, especially if the reading is taken before meals.

A. "My cancer is probably caused by a disorder in my hematological system." B. "My cancer is probably caused by a disorder of my endocrine system." C. "My cancer is probably caused by a disorder of my immune system." D. "My cancer is probably caused by a disorder on my gastrointestinal system."

Correct Answer is C

Explanation

A. Hematological disorders can influence the development of certain cancers (such as leukemia), but it is not a general cause of most cancers.
B. Endocrine system disorders can sometimes contribute to hormone-driven cancers (e.g., breast or prostate cancer), but it is not the primary cause of all cancers.
C. Immune system dysfunction can lead to an increased risk of cancer. The immune system is responsible for identifying and destroying abnormal cells, so when the immune system is compromised (e.g., by immunosuppression), cancer can develop more easily.
D. Gastrointestinal system disorders may contribute to cancers of the digestive tract (e.g., colon cancer), but the statement does not reflect the broader pathogenesis of cancer, which involves complex genetic and cellular mutations.

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The nurse is evaluating a 45-year-old patient diagnosed with type 2 diabetes mellitus. Which symptom reported by the patient is considered one of the classic clinical manifestations of diabetes?

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Naxlex Comprehensive Predictor Exams

The nurse has been teaching a patient with diabetes mellitus how to perform self-monitoring of blood glucose (SMBG). During evaluation of the patient's technique, the nurse identifies a need for additional teaching when the patient does what?

Correct Answer is B

Explanation

Which statement by a patient who was recently diagnosed with cancer indicates an understanding of the pathogenesis of cancer?

Correct Answer is C

Explanation

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The nurse is evaluating a 45-year-old patient diagnosed with type 2 diabetes mellitus. Which symptom reported by the patient is considered one of the classic clinical manifestations of diabetes?

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