Exhibits
Review History and Physical, and laboratory results. Based on the finding, indicate whether the finding represents a modifiable risk factor, a non modifiable risk factor, or is unrelated to type 2 diabetes mellitus.
Body mass index (BMI) 28 kg/m2
Sister with type 2 diabetes mellitus
Cannabis use
High density lipoprotein 43 mg/dL
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"}}
Body mass index (BMI) is a measure of body fat based on height and weight., A BMI of 25 to 29.9 is considered overweight. Being overweight is a known modifiable risk factor for type 2 diabetes mellitus. The client can potentially lower his risk of developing diabetes by adopting a healthier lifestyle, which may include diet and exercise to achieve a healthier BMI.
Family history is a known risk factor for type 2 diabetes mellitus. Having a first- degree relative with diabetes increases a person's risk of developing the condition. This risk factor is non-modifiable as one cannot change their genetic makeup or family history.
There is no conclusive evidence that links occasional cannabis use to an increased risk of developing type 2 diabetes mellitus. However, lifestyle choices are generally considered modifiable risk factors. It's important to consider the overall lifestyle and health behaviors of the individual.
HDL cholesterol is often referred to as "good" cholesterol. Higher levels of HDL cholesterol are associated with a lower risk of heart disease, which is a common comorbidity of diabetes.An HDL level lower than the recommended range is a modifiable risk factor as it can often be increased through lifestyle changes such as diet and exercise.
While HDL levels are not a direct risk factor for diabetes, they are related to the overall metabolic health of an individual, which can influence the risk of developing type 2 diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Difficulty staying asleep may indicate a sleep disorder or psychological stress but is not directly related to the client's diabetes mellitus or hypertension.
B. Blood pressure of 130/80 mm Hg is within the normal range for adults and does not require further follow-up unless there are specific concerns related to the client's medical history.
C. Dark yellow urine may indicate dehydration, which could be related to the client's diabetes mellitus and hypertension. However, it is not as concerning as the elevated serum creatinine
level.
D. Serum creatinine level of 1.6 mg/dL (141.44 μmol/L) is elevated above the normal range for both females and males. This finding suggests impaired kidney function, which is a significant concern for a client with a history of type 2 diabetes mellitus and hypertension. Further follow- up and evaluation are necessary to assess kidney function and determine appropriate
interventions.
Correct Answer is C
Explanation
A. While fever after vaccination should be monitored, not all fevers after vaccination are serious.
Low-grade fevers are common and may not require immediate reporting unless they are persistent or accompanied by other concerning symptoms.
B. Children's aspirin should not be given to prevent inflammation after vaccination due to the risk of Reye's syndrome. Acetaminophen or ibuprofen may be recommended for fever or discomfort after vaccination, but not aspirin.
C. Applying a cool pack to the injection site can help reduce discomfort and swelling, which are common reactions to vaccines. This is an appropriate instruction for caring for the injection site after receiving the Hib vaccine.
D. Keeping the child home from daycare for the next two days is not necessary unless the child experiences unusual symptoms or reactions to the vaccine. Most children can resume normal activities after vaccination.
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