What factors in the history of a client with schizoaffective disorders puts the client at higher risk for type 2 diabetes? (SELECT ALL THAT APPLY)

weight gain of 40 lbs. (18 kg) over the past 2 months

currently prescribed aripiprazole, a second-generation antipsychotic agent

sits & plays video games for 10-14 hours per day

frequently eats salads with grilled chicken

random blood glucose was 218 mg/dL with labs drawn 1 month ago

Answer and Explanation

Correct Answer : B,C,E

A.   While rapid weight gain is a concern, it's important to consider the underlying cause. If the weight gain is medication-related (as in option B), it's a significant risk factor. However, if it's due to other factors like increased appetite or decreased activity, it might not be as directly linked to diabetes risk.
B.   Many antipsychotic medications, including aripiprazole, have been linked to metabolic side effects like weight gain, increased blood glucose levels, and dyslipidemia. These metabolic changes can increase the risk of developing type 2 diabetes.
C.   A sedentary lifestyle is a well-known risk factor for type 2 diabetes. Reduced physical activity can lead to insulin resistance, a condition where the body's cells become less responsive to insulin.
D.   A diet rich in vegetables and lean protein is generally healthy and can help prevent chronic diseases. This option does not directly increase the risk of type 2 diabetes.
E.   A random blood glucose level above 200 mg/dL is indicative of diabetes. This is a clear marker of impaired glucose metabolism and a significant risk factor for type 2 diabetes.

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Correct Answer is A

Explanation

This is the expected peak time for regular insulin. After administration, insulin will generally reach its maximum effectiveness in lowering blood glucose within this timeframe, making it crucial for the client to eat or take carbohydrates to prevent hypoglycemia.

A. ease with which a prosthesis can be fitted. B. adequacy of the blood supply to the stump for healing. C. need to remove as much of the leg as possible. D. client's ability to walk with a prosthesis.

Correct Answer is B

Explanation

A. While the ease of fitting a prosthesis is a consideration, it is not the main factor. The level of amputation is primarily determined by medical considerations, particularly related to health and healing.
B. This is the primary determinant for the level of amputation. Surgeons aim to preserve as much limb length as possible while ensuring that the remaining tissue has adequate blood supply for healing.

Insufficient blood supply can lead to complications, including poor healing and infection, making this a critical factor in deciding the amputation level.
C. This option suggests a more aggressive approach than necessary. The goal is to remove only as much of the limb as required to address the medical issue (e.g., disease, trauma) while preserving as much healthy tissue as possible for optimal healing and function.
D. While a client’s functional ability with a prosthesis is an important consideration in rehabilitation planning, it is not the main factor in deciding the surgical level of amputation. The decision about how much limb to remove is made based on medical criteria, particularly healing potential.

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What factors in the history of a client with schizoaffective disorders puts the client at higher risk for type 2 diabetes? (SELECT ALL THAT APPLY)

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Naxlex Comprehensive Predictor Exams

A client's insulin dosage is 16 units of regular insulin in the morning. The client should be taught to expect the insulin peak within:

Correct Answer is A

Explanation

A client who is to have an amputation of the lower extremity asks the nurse. "How much of my leg will the doctor have to amputate?" The nurse's response is based on the knowledge that the level of amputation is determined by the:

Correct Answer is B

Explanation

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A client's insulin dosage is 16 units of regular insulin in the morning. The client should be taught to expect the insulin peak within:

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