A client who has Type 2 diabetes mellitus asks the nurse, "Why did I develop diabetes?" Which of the following responses should the nurse make?
"Your kidneys are not able to reabsorb water which leads to Type 2 diabetes mellitus."
"Your body is destroying the cells that secrete insulin."
"An infection in your pancreas destroyed the cells that make insulin."
"Your body has insulin resistance and decreased insulin secretion."
The Correct Answer is D
A. This statement is incorrect as it describes a condition related to diabetes insipidus, not diabetes mellitus.
B. This statement describes the autoimmune process in Type 1 diabetes, not Type 2 diabetes.
C. This statement is inaccurate for Type 2 diabetes; it is more related to acute pancreatitis or Type 1 diabetes.
D. Type 2 diabetes mellitus is characterized by insulin resistance and decreased insulin secretion by the pancreas.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Fluticasone should be used regularly to prevent symptoms, not skipped based on symptom presence.
B. Fluticasone is a maintenance medication and is not effective for acute attacks.
C. Checking heart rate is not necessary with fluticasone use.
D. Inspecting the mouth for lesions daily is important to detect oral thrush, a potential side effect of inhaled corticosteroids.
Correct Answer is B
Explanation
A. Alcohol abuse disorder can lead to dehydration and electrolyte imbalances but is not directly linked to low potassium levels.
B. NG tube to gastric suction can lead to potassium loss through gastric secretions, potentially causing hypokalemia.
C. Drinking large amounts of water is not typically associated with low potassium levels; excessive water intake can dilute electrolytes but is less likely to cause hypokalemia.
D. Spironolactone is a potassium-sparing diuretic that can actually increase potassium levels, making it less likely to cause hypokalemia.
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