You are an RN in a busy Emergency Department. A patient comes in with Type 2 Diabetes Mellitus. Which of the following signs and symptoms would you NOT expect the patient to report experiencing?

Polydipsia

Polyphagia

Polyuria

Anorexia

Answer and Explanation

The Correct Answer is D

A.   Polydipsia, or excessive thirst, is a common symptom of diabetes, including Type 2 Diabetes Mellitus. It occurs because high blood glucose levels lead to increased urine output (polyuria), which causes dehydration and prompts excessive thirst.
B.   Polyphagia, or excessive hunger, is another common symptom of T2DM. In Type 2 Diabetes, despite having high blood glucose levels, the cells are unable to effectively use glucose due to insulin resistance, leading to persistent hunger.
C.   Polyuria, or excessive urination, is common in T2DM. High blood glucose levels lead to glucose spilling into the urine, which increases urine volume and frequency.
D.   Anorexia, or loss of appetite, is not a typical symptom of Type 2 Diabetes Mellitus. In fact, T2DM usually presents with increased appetite (polyphagia) rather than decreased appetite.

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Correct Answer is A

Explanation

A. A random blood glucose level greater than 200 mg/dL suggests diabetes. However, it's important to note that this is not a definitive diagnosis and often requires further testing, such as a fasting blood glucose test or an oral glucose tolerance test.
B. <100 is a normal range for a fasting blood glucose test, not a random one.
C. <10 is an abnormally low blood glucose level, indicating hypoglycemia.
D. >100 range is too broad to determine if diabetes is likely.

A. "I will decrease my fluid intake while taking this medication" B. "I will expect to have black, tarry stools" C. "I will take my medication with meals" D. "I will monitor for weight loss while on this medication"

Correct Answer is D

Explanation

A. Prednisone does not require fluid restriction.
B. Black, tarry stools are a sign of gastrointestinal bleeding, not a common side effect of prednisone.
C. This is not a strict requirement for prednisone, although it can help prevent stomach upset.
D. Weight gain is a common side effect of prednisone due to increased appetite and fluid retention.

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You are an RN in a busy Emergency Department. A patient comes in with Type 2 Diabetes Mellitus. Which of the following signs and symptoms would you NOT expect the patient to report experiencing?

Nursing Test Bank

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