The nurse is teaching a patient recently diagnosed with type 1 diabetes mellitus (DM) about the disease. What information should the nurse include?

Type 1 DM is caused by the inability of the pancreas to produce insulin.

Type 1 DM is reversible with diet, weight loss, and exercise programs.

Type 1 DM is when glucose remains in the bloodstream because tissues are resistant to insulin.

Insulin is released into the gastrointestinal tract to aid in the digestion process.

Answer and Explanation

The Correct Answer is A

A. Type 1 diabetes is an autoimmune condition where the body's immune system attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the pancreas produces little to no insulin, which is essential for regulating blood glucose levels.
B. Type 1 diabetes is not reversible. It is a lifelong condition that requires ongoing management with insulin therapy. While diet, exercise, and weight management are important for overall health and can help manage blood glucose levels, they cannot reverse type 1 diabetes.
C. This description is characteristic of type 2 diabetes, not type 1. In type 2 diabetes, the body’s cells become resistant to the effects of insulin, and the pancreas may not produce enough insulin. In type 1 diabetes, the problem is the lack of insulin production due to autoimmune destruction of the pancreatic beta cells.
D. Insulin is not released into the gastrointestinal tract. Insulin is a hormone that is released into the bloodstream by the pancreas. Its primary role is to help regulate blood glucose levels by facilitating the uptake of glucose into the body's cells for energy.

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Correct Answer is B

Explanation

B. Orange juice is highly acidic and can irritate the esophagus, leading to increased heartburn symptoms. Regular consumption of acidic beverages like orange juice can exacerbate GERD symptoms, making this a likely contributing factor to the client's heartburn.
A. Consuming low-fat meats is generally not a contributing factor to heartburn. Low-fat meats are less likely to cause reflux compared to high-fat foods, which can relax the lower esophageal sphincter and increase the risk of acid reflux.
C. Eating dinner early in the evening is generally recommended for managing GERD. This practice allows more time for the stomach to empty before lying down to sleep, reducing the likelihood of acid reflux during the night.
D. Sleeping on a large wedge-style pillow is also generally recommended for managing GERD. Elevating the head and upper body during sleep can help prevent acid from flowing back into the esophagus.

A. Consumes spicy foods 5 to 8 times weekly B. History of ibuprofen use C. Drinks green tea D. History of bulimia

Correct Answer is B

Explanation

B. Nonsteroidal anti-inflammatory drugs (NSAIDs), including ibuprofen, are known to increase the risk of peptic ulcer formation by disrupting the protective mucosal barrier of the stomach and duodenum.
Long-term or frequent use of NSAIDs can lead to mucosal damage and ulceration.
A. Consuming spicy foods frequently may irritate the lining of the stomach and increase the risk of developing peptic ulcers. However, the number of consumed meals is not specific to the risl of peptic ulcer formation.
C. Green tea consumption is generally not considered a significant risk factor for peptic ulcers. In fact, some studies suggest that compounds found in green tea may have protective effects against the development of peptic ulcers and may help reduce the risk of H. pylori infection, a common cause of ulcers.
D. Bulimia, an eating disorder characterized by binge eating followed by purging behaviors such as vomiting, is a risk factor for peptic ulcers. The repeated exposure of stomach acid to the esophagus and stomach lining due to vomiting can lead to inflammation and ulceration of the gastrointestinal tract.

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The nurse is teaching a patient recently diagnosed with type 1 diabetes mellitus (DM) about the disease. What information should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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