What factors in the history of a client with schizoaffective disorders puts the client at higher risk for type 2 diabetes? (SELECT ALL THAT APPLY)

weight gain of 40 lbs. (18 kg) over the past 2 months

currently prescribed aripiprazole, a second-generation antipsychotic agent

sits & plays video games for 10-14 hours per day

frequently eats salads with grilled chicken

random blood glucose was 218 mg/dL with labs drawn 1 month ago

Answer and Explanation

Correct Answer : B,C,E

A.   While rapid weight gain is a concern, it's important to consider the underlying cause. If the weight gain is medication-related (as in option B), it's a significant risk factor. However, if it's due to other factors like increased appetite or decreased activity, it might not be as directly linked to diabetes risk.
B.   Many antipsychotic medications, including aripiprazole, have been linked to metabolic side effects like weight gain, increased blood glucose levels, and dyslipidemia. These metabolic changes can increase the risk of developing type 2 diabetes.
C.   A sedentary lifestyle is a well-known risk factor for type 2 diabetes. Reduced physical activity can lead to insulin resistance, a condition where the body's cells become less responsive to insulin.
D.   A diet rich in vegetables and lean protein is generally healthy and can help prevent chronic diseases. This option does not directly increase the risk of type 2 diabetes.
E.   A random blood glucose level above 200 mg/dL is indicative of diabetes. This is a clear marker of impaired glucose metabolism and a significant risk factor for type 2 diabetes.

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Correct Answer is B

Explanation

A. While exercise is an important aspect of diabetes management, particularly for blood glucose control and overall health, it is not the immediate priority for a newly diagnosed client. Understanding how to manage blood glucose levels is more critical initially.
B. For a client who is newly diagnosed with insulin-dependent diabetes, learning how to administer insulin is essential. This includes understanding how to prepare, inject, and store insulin, as well as recognizing the signs of hypoglycemia and hyperglycemia. Proper insulin administration is crucial for managing blood glucose levels and preventing complications.
C. Understanding dietary management is important in diabetes care, as it plays a significant role in blood sugar control. However, without knowing how to administer insulin, a client may struggle to manage their blood glucose levels effectively, making insulin administration a higher priority initially.
D. While monitoring urine for ketones is important, particularly in cases of potential diabetic ketoacidosis (DKA), this is not the first priority for a newly diagnosed client. The focus should be on fundamental skills and knowledge for managing diabetes, such as insulin administration.

A. maintenance of a healthy weight B. use of low doses of insulin regular. C. oral hypoglycemic agents D. self-monitoring of blood glucose.

Correct Answer is A

Explanation

A. Teaching the client about maintaining a healthy weight is crucial, especially in preventing the progression from prediabetes to type 2 diabetes. Weight management through diet and exercise can significantly improve insulin sensitivity and glucose control.
B. At a fasting plasma glucose level of 120 mg/dL, the client is not typically at the stage where insulin therapy is necessary. Insulin is usually reserved for individuals with established diabetes, particularly if they are unable to achieve glycemic control through lifestyle changes or oral medications.
C. Similar to option B, the use of oral hypoglycemic agents is not indicated for someone with a fasting glucose of 120 mg/dL. This level suggests prediabetes, and the initial approach is generally focused on lifestyle changes rather than medication.
D. While self-monitoring of blood glucose is important for individuals with diabetes, it may not be the immediate focus for a client with a fasting plasma glucose level of 120 mg/dL unless the physician has indicated a diagnosis of diabetes or if the client has symptoms. In prediabetes, education around lifestyle modifications is typically prioritized.

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What factors in the history of a client with schizoaffective disorders puts the client at higher risk for type 2 diabetes? (SELECT ALL THAT APPLY)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A client screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The nurse will plan to teach the client about

Correct Answer is A

Explanation

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