Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and wants to better understand the pathophysiology of diabetes. Which of the following statements is correct?
A. "Lifestyle changes cannot help this diagnosis because it is most likely genetic.'
Type 2 diabetes is multifactorial- both genetic and lifestyle have a role in its development. Individuals with a positive family history for diabetes are more likely to develop the illness. Exposure to sedentary lifestyle increases the risk even more in these individuals.
B. "Your body produces some insulin but not enough to help move glucose into the cells."
C. "Your cells have become resistant to glucose and you will have to change your diet."
This condition is characterized by insulin resistance, where the body's cells do not respond properly to insulin, and by a relative insulin deficiency, where the pancreas does not produce sufficient insulin for the body's needs. Lifestyle changes, such as diet and exercise, can be very effective in managing type 2 diabetes because they can improve the body's sensitivity to insulin and help control blood glucose levels.
D. "Your body does not produce any insulin, so your cells cannot absorb glucose.
describes type 1 diabetes, where the pancreas produces little to no insulin, which is different from type 2 diabetes. In type 2 diabetes the body produce insulin but is either inadequate or there is increased tissues resistance to insulin
This question is an excerpt from Nurse Dive's nursing test bank - Ati Patho/pharmacology Nur20500 Proctored Exam. Take the full exam now
Full Explanation
A- Type 2 diabetes is multifactorial- both genetic and lifestyle have a role in its development. Individuals with a positive family history for diabetes are more likely to develop the illness. Exposure to sedentary lifestyle increases the risk even more in these individuals.
This condition is characterized by insulin resistance, where the body's cells do not respond properly to insulin, and by a relative insulin deficiency, where the pancreas does not produce sufficient insulin for the body's needs. Lifestyle changes, such as diet and exercise, can be very effective in managing type 2 diabetes because they can improve the body's sensitivity to insulin and help control blood glucose levels.
Describes type 1 diabetes, where the pancreas produces little to no insulin, which is different from type 2 diabetes. In type 2 diabetes the body produce insulin but is either inadequate or there is increased tissues resistance to insulin
Similar Questions
A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client?
A. Lactated Ringer's
Lactated Ringer's and Dextrose 5% in 0.9% sodium chloride are isotonic and hypertonic solutions, respectively, and would not be appropriate choices for treating hypernatremia due to their higher sodium content.
B. 0.45% sodium chloride
The goal is to lower the serum sodium concentration carefully by providing a hypotonic solution. In this case, 0.45% sodium chloride is often recommended as it is a hypotonic fluid and can help to correct the sodium imbalance without overloading the client with sodium. the client requires a fluid with dextrose due to the NPO status and low sodium concentration
C. Dextrose 5% in 0.9% sodium chloride
Dextrose 5% in 0.9% sodium chloride is the most appropriate fluid for the client as it supplies both caloric, fluid and electrolytes at the same time. This ensures that the client does not go into hypoglycemia and the sodium is lowered
D. Dextrose in water
Dextrose in water (option D) is also hypotonic once the dextrose is metabolized, but it may not be as effective in this scenario as it does not contain electrolytes. The water can tip the client to hyponatremia
Full Explanation
C- Dextrose 5% in 0.9% sodium chloride is the most appropriate fluid for the client as it supplies both caloric, fluid and electrolytes at the same time. This ensures that the client does not go into hypoglycemia and the sodium is lowered
A- Lactated Ringer's and Dextrose 5% in 0.9% sodium chloride are isotonic and hypertonic solutions, respectively, and would not be appropriate choices for treating hypernatremia due to their higher sodium content.
B- The goal is to lower the serum sodium concentration carefully by providing a hypotonic solution. In this case, 0.45% sodium chloride is often recommended as it is a hypotonic fluid and can help to correct the sodium imbalance without overloading the client with sodium. the client requires a fluid with dextrose due to the NPO status and low sodium concentration
D- Dextrose in water (option D) is also hypotonic once the dextrose is metabolized, but it may not be as effective in this scenario as it does not contain electrolytes. The water can tip the client to hyponatremia
A nurse is assessing a client who has hypokalemia as a result of nausea. vomiting, and diarrhea. Which of the following findings should the nurse expect?
A. A Extreme thirst
B. B Hyperactive bowel sounds
C. C Weak, irregular pulse
D. D Hyperactive reflexes
Full Explanation
Hypokalemia, a condition characterized by low levels of potassium in the blood, can manifest in various clinical signs and symptoms including a weak, irregular pulse. Potassium plays a crucial role in cardiac function, and its deficiency can lead to arrhythmias or abnormal heart rhythms, which may present as a weak or irregular pulse. potassium is vital for heart contractility. Deficiency leads to arrhythmias presenting as a weak irregular pulse
A, B-Extreme thirst is more commonly associated with hypernatremia or high levels of sodium, while hyperactive bowel sounds could be indicative of gastrointestinal distress but are not specific to hypokalemia.
D-Hyperactive reflexes are not typically associated with low potassium levels but rather with other electrolyte imbalances.
A nurse is caring for a client who has a new prescription for a low-sodium diet. The client's family has requested to bring in some of the client's favorite foods. Which of the following food items should the nurse tell the family members to omit?
A. Flat bread
B. Broiled fish fillet
C. Boiled rice
D. pickled vegetables
Full Explanation
Pickled vegetables should be omitted because they typically contain a high amount of sodium, which is used in the pickling process to preserve the vegetables. It's always important to check for hidden sources of sodium in foods and opt for fresh, unprocessed ingredients whenever possible.
A, B, C- Flatbread, broiled fish fillet, and boiled rice are generally considered low in sodium and more suitable for a low-sodium diet, especially when prepared without added salt.