A nurse is caring for several clients at a community clinic. Which of the following clients is most at risk for developing type 2 diabetes mellitus?
A client who has an autoimmune disorder.
A 40-year-old client with hypoglycemia.
A client who does not get much sleep.
A 26-year-old female client who has never given birth.
The Correct Answer is B
Choice A reason:
While autoimmune disorders are associated with type 1 diabetes, where the immune system attacks the pancreas, they are not typically a direct risk factor for type 2 diabetes. Type 2 diabetes is more closely related to lifestyle factors and insulin resistance.
Choice B reason:
A 40-year-old client with hypoglycemia may be at risk for developing type 2 diabetes. Hypoglycemia can be a sign of pre-diabetes or insulin resistance, where the body's response to insulin is not as effective, leading to fluctuations in blood sugar levels. As individuals age, their risk for type 2 diabetes increases, particularly if they have other risk factors such as a sedentary lifestyle, overweight, or a family history of diabetes.
Choice C reason:
Lack of sleep can contribute to the development of type 2 diabetes by affecting the body's ability to regulate glucose and by increasing insulin resistance. However, without additional risk factors, it is not as strong a predictor of type 2 diabetes as the presence of hypoglycemia or other metabolic conditions.
Choice D reason:
Having never given birth is not a recognized risk factor for type 2 diabetes. While gestational diabetes is a risk factor for developing type 2 diabetes later in life, the absence of pregnancy does not increase the risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Weight loss is a common finding in individuals with uncontrolled type 1 diabetes mellitus. Due to the lack of insulin, the body cannot utilize glucose effectively, leading to the breakdown of body fat and muscle for energy, resulting in weight loss.
Choice B reason:
Hematuria, or blood in the urine, is not a typical finding associated with uncontrolled type 1 diabetes mellitus. While diabetes can cause kidney damage over time, leading to proteinuria, hematuria would not be an expected finding solely due to uncontrolled diabetes.
Choice C reason:
Bradycardia, or a slower than normal heart rate, is not a common finding in uncontrolled type 1 diabetes mellitus. In fact, diabetes can sometimes cause autonomic neuropathy, which can affect the heart rate, but this typically does not result in bradycardia.
Choice D reason:
Hypertension is more commonly associated with type 2 diabetes mellitus, often due to insulin resistance. In type 1 diabetes, especially when uncontrolled, hypertension is not a typical finding unless there is coexisting kidney damage.
Correct Answer is B
Explanation
Choice A reason:
Testicular torsion is a condition where the spermatic cord becomes twisted, cutting off the blood supply to the testicle. It is not a typical complication following a prostatectomy. Testicular torsion is generally an acute condition that affects younger males and is unrelated to prostate surgery.
Choice B reason:
Erectile dysfunction (ED) is a common complication after prostatectomy. The surgery can damage the nerves and blood vessels that control erections, leading to ED. While nerve-sparing techniques aim to reduce this risk, some degree of erectile dysfunction is still possible after the procedure.
Choice C reason:
Cystitis, which is inflammation of the bladder, can occur after a prostatectomy due to the use of a catheter or as a result of the surgery itself. However, it is not as common or as significant a long-term complication as erectile dysfunction.
Choice D reason:
Paralytic ileus, a temporary cessation of bowel movements, can occur after any abdominal surgery due to the manipulation of the intestines or as a side effect of anesthesia. While it can be a complication of prostatectomy, it is typically resolved within a few days to weeks after surgery.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today