The nurse is reviewing data collected for a patient's health history. Which factor should the nurse identify as increasing the patient's risk of developing type 2 diabetes mellitus?
1. body mass index of 23 kg/m2
2. blood pressure of 120/70
3. physical inactivity
4. low waist-to-hip ratio
Correct Answer: 3
Physical inactivity is a major risk factor for type 2 DM. Patients with obesity, defined as being at least 20% over desired body weight or having a body mass index (BMI) of at least 27 kg/m2, are at major risk for type 2 DM. A blood pressure of 120/70 is normal and carries no increased risk for type 2 DM. A high waist-to-hip ratio is a risk factor for type 2 DM. A low waist-to-hip ratio carries no increased risk of the disease.
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