The nurse is teaching a client about foot care for diabetes management. Which statement by the client indicates a need for further clarification?

"I should inspect my feet daily for any cuts, sores, or blisters."

"I can soak my feet in hot water to relieve any foot pain."

"I should wear comfortable shoes and avoid high heels."

"Moisturizing my feet regularly can help prevent dry skin."

Answer and Explanation

The Correct Answer is B

Soaking feet in hot water can lead to burns and is not recommended for individuals with diabetes, as they may have reduced sensation. Warm water and gentle cleaning are more appropriate for foot care.

Incorrect choices:

a. This statement is correct. Daily inspection of the feet is important to detect any cuts, sores, or blisters early and prevent complications.

c. This statement is correct. Wearing comfortable shoes and avoiding high heels helps protect the feet and prevent injuries.

d. This statement is correct. Moisturizing the feet regularly can help prevent dry skin, which can lead to cracks and potential infections.

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Free Nursing Study Resources

Correct Answer is C

Explanation

In type 2 diabetes, insulin resistance occurs, meaning that the body's cells do not respond effectively to the action of insulin. This leads to decreased glucose uptake by cells and elevated blood sugar levels.

Incorrect choices:

a. This choice is incorrect. Autoimmune destruction of pancreatic beta cells is characteristic of type 1 diabetes, not type 2.

b. This choice is incorrect. Increased sensitivity of cells to insulin would result in improved glucose uptake and reduced hyperglycemia.

d. This choice is incorrect. Excess insulin production by the pancreas is not a typical mechanism in type 2 diabetes.

A. Type 1 diabetes mellitus. B. Type 2 diabetes mellitus. C. Gestational diabetes mellitus. D. Secondary diabetes mellitus.

Correct Answer is D

Explanation

Secondary diabetes mellitus is caused by other medical conditions or factors that affect insulin secretion or action, such as medications, hormonal disorders, or specific medical conditions.

Incorrect choices:

a. This choice is incorrect. Type 1 diabetes mellitus is primarily caused by autoimmune destruction of beta cells.

b. This choice is incorrect. Type 2 diabetes mellitus involves insulin resistance and relative insulin deficiency, often influenced by lifestyle factors.

c. This choice is incorrect. Gestational diabetes mellitus occurs during pregnancy due to hormonal changes and is not primarily caused by other medical conditions or factors.

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The nurse is teaching a client about foot care for diabetes management. Which statement by the client indicates a need for further clarification?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following pathophysiological mechanisms contributes to hyperglycemia in type 2 diabetes mellitus?

Correct Answer is C

Explanation

Which classification of diabetes mellitus is caused by other medical conditions or factors, such as certain medications or hormonal imbalances?

Correct Answer is D

Explanation

Which of the following is a classic symptom of hyperglycemia in diabetes mellitus?

Which complication of diabetes mellitus is characterized by high blood glucose levels and the presence of ketones in the urine, leading to metabolic acidosis and potentially life-threatening complications?

Which medication enhances insulin secretion from pancreatic beta cells and is commonly used to manage type 2 diabetes mellitus?

Which complication of diabetes mellitus is characterized by damage to the blood vessels of the retina, leading to vision impairment and potential blindness?

Which clinical manifestation of diabetes mellitus is commonly associated with weight loss despite increased appetite?

Which treatment modality involves monitoring blood glucose levels and adjusting insulin doses based on carbohydrate intake, activity level, and current blood glucose levels to achieve tight glycemic control?

Which medication works by increasing insulin sensitivity in peripheral tissues, facilitating glucose uptake by cells, and is commonly used in the treatment of type 2 diabetes mellitus?

Which hormone, produced by the pancreas, plays a key role in regulating blood glucose levels by facilitating glucose uptake into cells and promoting its storage as glycogen in the liver and muscles?