An adult client newly diagnosed with type 2 diabetes mellitus asks a nurse to explain how he developed the condition. Which of the following responses should the nurse make?
Your body will continue producing too much insulin without medicine to counteract it.
Your body doesn’t process glucose well.
Your body’s hemoglobin is not binding to the sugar you consume.
Your body’s immune system has destroyed cells in your pancreas.
The Correct Answer is B
Choice A rationale
Type 2 diabetes is characterized by insulin resistance, not the overproduction of insulin. Over time, the pancreas may produce less insulin, but the primary issue is the body’s inability to use insulin effectively.
Choice B rationale
Type 2 diabetes involves the body’s inability to process glucose properly due to insulin resistance. This leads to elevated blood glucose levels and various complications if not managed effectively.
Choice C rationale
Hemoglobin binding to sugar is related to the measurement of HbA1c, which reflects average blood glucose levels over time. It is not a cause of type 2 diabetes.
Choice D rationale
The destruction of pancreatic cells is a characteristic of type 1 diabetes, an autoimmune condition. Type 2 diabetes is primarily due to insulin resistance and is not caused by an autoimmune response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
High fever in the early morning is not a typical finding in pulmonary tuberculosis. TB patients may experience low-grade fevers, but high fevers are less common and usually occur in the evening or at night.
Choice B rationale
Fatigue is a common symptom of pulmonary tuberculosis. TB is a chronic infectious disease that can cause prolonged periods of fatigue and weakness due to the body’s ongoing immune response to the infection.
Choice C rationale
Increased appetite is not a typical finding in pulmonary tuberculosis. TB patients often experience a loss of appetite and unintentional weight loss due to the systemic effects of the infection.
Choice D rationale
Night sweats are a classic symptom of pulmonary tuberculosis. TB patients often experience drenching night sweats as a result of the body’s immune response to the infection. This symptom, along with chronic cough and weight loss, is a key indicator of TB.
Correct Answer is ["2"]
Explanation
Step 1: Determine the concentration of the available medication. The available concentration is 2 mg/mL.
Step 2: Calculate the volume to be administered. 4 mg ÷ 2 mg/mL = 2 mL The nurse should administer 2 mL.
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