The nurse is screening a group of clients. Which client has the greatest risk for developing type 2 diabetes?
1. A 25-year-old male with arthritic pain
2. A 12-year-old male with a normal height to weight ratio
3. A 55-year-old female who is 20 pounds overweight
4. An 8-year-old female who is developmentally delayed
3
Rationale 1:The age and pain are not related to type 2 diabetes.
Rationale 2:The age and normal weight are not related to type 2 diabetes.
Rationale 3: Type 2 diabetes mellitus usually begins in middle age with increasing numbers of children being diagnosed. It is more common in those who are overweight and those with low HDL-cholesterol and high triglyceride levels.
Rationale 4:The age and developmental delay are not related to type 2 diabetes.
Global Rationale: Type 2 diabetes first appeared in middle-aged adults, but increasing numbers of children are being diagnosed with type 2 diabetes. Type 2 diabetes is common in patients who are overweight and those with low HDL-cholesterol and high triglyceride levels.
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The postpartum home care client asks the nurse why the visit is taking place. Which response is best? "We make home care visits to:
1. "Reinforce any teaching that you didn't quite grasp in the hospital." 2. "Verify that both you and the baby are safe and doing well." 3. "Provide a service that leads to better statistical outcomes." 4. "Thoroughly assess your baby to make sure he is growing."
The nurse assesses a client with a temporal bone fracture and notices drainage from the right nare. Based on this assessment, which nursing diagnosis should the nurse document as priority for this client?
1. Potential for infection 2. Risk for pain 3. Risk for impaired sensory input 4. Foreign body
Eating plans for patients with diabetes mellitus and gastroparesis should include
a. six small meals daily. b. three regular meals daily. c. high protein intake. d. increased fluid intake.
A woman says, "I can't take it anymore! Last year my husband had an affair and now we don't communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college." What type of crisis is this person experiencing?
a. Maturational b. Adventitious c. Situational d. Recurring