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 ["B","C","D"]
Explanation
A. Implementing a recorded order message is not a standard practice and may not be permissible in all healthcare settings.
B. Transcribing the order into the client's health record is essential to ensure accurate documentation.
C. Repeating the order back to the provider ensures that the nurse has correctly understood the prescription.
D. Questioning any part of the order that is unclear or inappropriate ensures patient safety and accuracy.
E. While obtaining the provider's signature is necessary, the timeframe may vary depending on facility policies and regulations. The focus should be on ensuring the accuracy and clarity of the order first.
Correct Answer is D
Explanation
A. Waiting until after the procedure to inform the provider is not appropriate for discussing end-of-life wishes.
B. The seriousness of the procedure does not determine the necessity of a DNR request; it's the client's right to express this choice.
C. While spiritual support can be helpful, discussing DNR orders typically involves the healthcare team and the client directly.
D. The provider should directly discuss the client's wishes regarding a DNR order to ensure understanding and documentation.
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