The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning treatment. Which subjective information is most important for the nurse to note?

An allergy to sulfa drugs.

Cessation of smoking three years ago.

Numbness in the soles of the feet.

A history of obesity.

Answer and Explanation

The Correct Answer is A

Choice A rationale: An allergy to sulfa drugs is important as some diabetes medications, like sulfonylureas, contain components related to sulfa drugs, which could cause an allergic reaction in susceptible individuals.

Choice B rationale: Smoking cessation and lifestyle history are important but might not directly impact initial diabetes treatment options.

Choice C rationale: Numbness in the soles of the feet might indicate neuropathy, a common complication of diabetes, but is not directly related to the choice of initial treatment.

Choice D rationale: While obesity is a risk factor for Type 2 diabetes, it's less critical for immediate treatment decisions compared to drug allergies that could impact medication choices.

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Correct Answer is B

Explanation

Choice A rationale: Metformin does not significantly affect insulin release from the pancreas or glucagon secretion but reduces glucose production by the liver and enhances insulin sensitivity in tissues.

Choice B rationale: Metformin primarily works by reducing glucose production in the liver and improving the body's response to insulin, thereby lowering blood sugar levels.

Choice C rationale: Metformin does not notably slow carbohydrate absorption in the small intestine.

Choice D rationale: Metformin does not directly increase insulin production from the pancreas.

A. genetic cancerous mutations. B. hyperinsulinemia C. cortisol excess. D. estrogen deficit.

Correct Answer is B

Explanation

Choice A rationale: PCOS is not typically associated with genetic cancerous mutations.

Choice B rationale: Insulin resistance and hyperinsulinemia are commonly associated with PCOS, contributing to its pathophysiology.

Choice C rationale: While cortisol abnormalities can cause similar symptoms, it's not a primary finding in PCOS.

Choice D rationale: PCOS often involves hormonal imbalances, but it's not characterized by an estrogen deficit.

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The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning treatment. Which subjective information is most important for the nurse to note?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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