The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine change should the nurse expect in this patient?

More rapid insulin release

intolerance of fatty foods

Decreased sensitivity to insulin

Lower and prolonged blood glucose levels

Answer and Explanation

The Correct Answer is C

A. Incorrect. Aging is associated with a decrease in insulin production and a reduction in the speed of insulin release, not an increase.

B. Incorrect. Intolerance of fatty foods is not typically an age-related endocrine change. It may be related to other factors such as digestive issues.

C. Correct. Decreased sensitivity to insulin is a common age-related endocrine change, particularly in individuals with type 2 diabetes mellitus.

D. Incorrect. Lower and prolonged blood glucose levels are not an expected age-related endocrine change. Instead, insulin resistance tends to result in elevated blood glucose levels.

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Correct Answer is C

Explanation

A. Incorrect. This statement describes the cause of diabetes mellitus, not Addison's disease.

B. Incorrect. Overproduction of growth hormone is associated with conditions like acromegaly or gigantism, not Addison's disease.

C. Correct. Addison's disease is caused by the lack of production of aldosterone by the adrenal gland.

D. Incorrect. Overproduction of parathormone is associated with hyperparathyroidism, not Addison's disease.

A. Check the pedal pulses. B. Request prescription for a relaxant. C. Verify the most recent calcium level. D. Administer an oral potassium supplement.

Correct Answer is C

Explanation

A. Checking the pedal pulses is important for assessing circulation, but it may not directly address the cause of the muscle spasms. In this case, addressing the electrolyte imbalance is a higher priority.

B. Requesting a relaxant might provide temporary relief for muscle spasms, but it does not address the potential underlying cause. It's important to identify and treat the root issue.

C. Correct. Severe muscle spasms in a client post-thyroidectomy could indicate hypocalcemia, as the parathyroid glands, which regulate calcium levels, can be affected during the surgery. Verifying the most recent calcium level will help determine if this is the cause.

D. Administering an oral potassium supplement addresses a different electrolyte imbalance (hypokalemia), which is not typically associated with muscle spasms following a thyroidectomy. Calcium levels are more relevant in this context.

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The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine change should the nurse expect in this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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