The nurse is teaching a client about diabetic ketoacidosis (DKA). Which of the following types of diabetes does the client most likely have?

Gestational diabetes

Secondary diabetes

Type 2 diabetes mellitus

Type 1 diabetes mellitus

Answer and Explanation

The Correct Answer is D

A. Gestational diabetes occurs during pregnancy and typically resolves after delivery. It does not typically lead to diabetic ketoacidosis (DKA), though women with gestational diabetes are at higher risk for developing type 2 diabetes later in life.
B. Secondary diabetes results from another condition (such as a hormonal disorder or medication use) and is less commonly associated with DKA.
C. While DKA can occur in type 2 diabetes, it is much more common in type 1 diabetes, especially in cases of severe insulin deficiency or missed insulin doses.
D. Diabetic ketoacidosis (DKA) is most commonly associated with type 1 diabetes mellitus. It occurs due to a severe lack of insulin, which leads to hyperglycemia, dehydration, and the production of ketones. DKA is a life-threatening complication often seen in newly diagnosed individuals or those with poor diabetes management.

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Correct Answer is C

Explanation

A. In Graves' disease, the immune system attacks the thyroid gland, but the result is an overproduction of thyroid hormones (hyperthyroidism), not a decrease.
B. Graves' disease is an autoimmune disorder in which the immune system produces antibodies (known as thyroid-stimulating immunoglobulins) that stimulate the thyroid gland to produce excess thyroid hormones. It is not primarily an inflammatory condition.
C. Immunoglobulins cause excess in thyroid hormones Graves' disease is an autoimmune disorder in which the body produces thyroid-stimulating immunoglobulins (TSIs) that bind to thyroid cells and stimulate the thyroid to produce excess thyroid hormones. This leads to hyperthyroidism.
D. Graves' disease is more commonly seen in women, particularly those between the ages of 20 and 40. Men are less likely to develop this condition.

A. "Look directly at the person you are talking to." B. "Stop to take a breath after each word." C. "Use a hearing aid to improve communication." D. "Try to speak louder and faster."

Correct Answer is A

Explanation

A. Look directly at the person you are talking to helps enhance communication by using facial expressions and visual cues, which can compensate for the soft, monotone, or slurred speech often seen in clients with Parkinson’s disease.
B. Stopping to take a breath after each word would make speech more fragmented and harder to follow. It is not a recommended strategy.
C. A hearing aid would help the listener if they had hearing loss, but it does not assist the client with Parkinson’s who is having difficulty speaking, not hearing.
D. Speaking louder may help, but speaking faster is counterproductive. Clients with Parkinson’s often benefit from slower, more deliberate speech and may work with a speech therapist to use strategies like the Lee Silverman Voice Treatment (LSVT), which focuses on increasing vocal loudness—not speed.

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The nurse is teaching a client about diabetic ketoacidosis (DKA). Which of the following types of diabetes does the client most likely have?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with Graves' disease. The nurse understands that which of the following statements is true regarding this disorder?

Correct Answer is C

Explanation

The nurse is caring for a client with Parkinson's disease who has difficulty speaking. Which of the following instructions should the nurse provide to the client.

Correct Answer is A

Explanation

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