The nurse is preparing to teach about the long-term complications for patients diagnosed with diabetes. Which finding is accurate?
Patients with HbA1c levels below 6% are less likely to experience complications.
Most complications involve either the large or tiny vessels of the body.
Chronic hypoglycemia causes a variety of serious complications.
Type 1 diabetics are at greatest risk for complications even with tight control.
The Correct Answer is B
Choice A reason: While patients with HbA1c levels below 6% are generally considered to have good glycemic control, this does not guarantee they will be free from complications.
Choice B reason: Diabetes complications often involve vascular issues, affecting both large (macrovascular) and small (microvascular) blood vessels, leading to a range of complications such as cardiovascular disease and neuropathy.
Choice C reason: Chronic hypoglycemia can lead to various health issues, but it is not typically classified as a long-term complication of diabetes. Instead, it is a risk associated with diabetes management, particularly with insulin use.
Choice D reason: Both Type 1 and Type 2 diabetics are at risk for complications. Tight glycemic control can reduce the risk, but it does not eliminate it, and Type 1 diabetics are not necessarily at the greatest risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Calling the surgeon to talk to the patient may be helpful in some cases, but it does not directly address the patient's immediate emotional needs. The surgeon can provide detailed information about the procedure, which might alleviate some fears, but this is not always the immediate solution.
Choice B reason:
Offering to call the chaplain for the patient could provide emotional and spiritual support, which is important in holistic care. However, this should be done in addition to addressing the patient's concerns about the surgery itself.
Choice C reason:
Informing the patient that the survival rate for this surgery is very high directly addresses the patient's fear about not surviving the surgery. Providing factual reassurance about the success rate can help to alleviate anxiety and is an appropriate immediate response.
Choice D reason:
Recommending analgesics only during surgery does not address the patient's expressed fear and is not an appropriate response to the emotional concern. Analgesics are for pain management and do not provide reassurance about the outcome of the surgery.
Correct Answer is ["B","C","E","F"]
Explanation
Choice A reason: Forming new relationships easily is not typically associated with PTSD.
Choice B reason: Chemical dependency can be a coping mechanism for those with PTSD.
Choice C reason: Feelings of low self-esteem are common in individuals with PTSD.
Choice D reason: Social integration is not a symptom of PTSD; rather, individuals may struggle with social interactions.
Choice E reason: Flashbacks are a hallmark symptom of PTSD, where individuals relive the traumatic event.
Choice F reason: Irritability is a common symptom of PTSD, often due to heightened arousal and anxiety.
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