Difficulty level: Intermediate
A major difference between Aron's (type 1 diabetes) and his father (type 2 diabetes):
The overall goal of treatment for each type.
How the conditions are treated.
How the two conditions are diagnosed.
The potential long-term complications.
The Correct Answer is B
Choice A reason: The overall goal of treatment for both type 1 and type 2 diabetes is to maintain blood glucose levels within a normal range and prevent complications. While the strategies to achieve these goals may differ, the ultimate objectives are similar for both types of diabetes.
Choice B reason: The treatment for type 1 diabetes primarily involves insulin therapy, as the body cannot produce insulin. In contrast, type 2 diabetes treatment often starts with lifestyle changes and oral medications to improve insulin sensitivity and control blood glucose levels. Insulin therapy may be required later in the course of type 2 diabetes if other treatments are insufficient.
Choice C reason: Both types of diabetes are diagnosed using similar criteria, including measuring blood glucose levels through fasting blood glucose tests, oral glucose tolerance tests, and HbA1c levels. The diagnosis process itself is not a major differentiating factor between the two types.
Choice D reason: The potential long-term complications of both type 1 and type 2 diabetes are similar and include cardiovascular disease, neuropathy, nephropathy, retinopathy, and other complications related to prolonged high blood glucose levels. While the risk factors and progression may vary, the types of complications are not significantly different between the two conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The neck is the most common site where individuals with Hodgkin Lymphoma (HL) present with nontender enlarged lymph nodes. These lymph nodes are typically firm and rubbery in texture. The cervical lymph nodes are often affected first in HL, making the neck a primary area of concern for this type of lymphoma. Early detection and biopsy of these lymph nodes can help in diagnosing HL.
Choice B reason: While the abdomen can be involved in Hodgkin Lymphoma, it is not the most common initial presentation site. Involvement of the abdominal lymph nodes typically occurs at later stages of the disease. Enlarged lymph nodes in the abdomen can be detected through imaging studies but are less accessible for physical examination compared to those in the neck.
Choice C reason: The kidney is not a typical site for lymph node involvement in Hodgkin Lymphoma. HL primarily affects the lymphatic system, including lymph nodes, spleen, and other lymphoid tissues. Direct involvement of the kidney is rare and usually occurs in advanced stages of the disease.
Choice D reason: The spleen is a lymphoid organ that can be involved in Hodgkin Lymphoma, especially in more advanced stages. However, it is not the primary site where nontender enlarged lymph nodes are first detected. Enlargement of the spleen (splenomegaly) can occur due to the spread of HL, but the initial presentation is usually in the lymph nodes of the neck.
Correct Answer is B
Explanation
Choice A reason: Low white blood cell (WBC) count is not related to the development of diabetes. WBCs are part of the immune system and are involved in fighting infections. Diabetes is primarily associated with issues related to insulin, either its production or the body's response to it.
Choice B reason: Lack of insulin secretion is a primary cause of type 1 diabetes. In type 1 diabetes, the body's immune system attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body cannot produce insulin, leading to high blood glucose levels. Insulin therapy is required to manage blood glucose levels in individuals with type 1 diabetes.
Choice C reason: Low red blood cell (RBC) count, or anemia, is not a cause of diabetes. RBCs are responsible for carrying oxygen throughout the body. While anemia can occur in individuals with diabetes due to various complications, it is not a direct cause of the condition.
Choice D reason: Resistance to insulin is a primary cause of type 2 diabetes. In type 2 diabetes, the body's cells become resistant to the effects of insulin, making it difficult for glucose to enter the cells. As a result, the pancreas produces more insulin to compensate, but eventually, it cannot keep up with the demand, leading to high blood glucose levels. Lifestyle changes, oral medications, and insulin therapy are often used to manage type 2 diabetes.
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