An adult client who is newly diagnosed with type 2 diabetes has smoked for 30 years
When teaching the client on ways to optimize health outcomes, what should the nurse explain about the effects of smoking and diabetes?
A) Smoking is a major factor in the development of diabetic neuropathy.
B) Smoking increases insulin resistance.
C) Smoking accelerates arteriosclerotic changes in blood vessels.
D) Smoking promotes weight gain.
Answer: C
Smoking is especially unhealthy for diabetic clients because smoking accelerates the arteriosclerotic effects that occur in blood vessels from elevated levels of blood glucose. Smoking is not associated with weight gain; in fact, people use weight gain as an excuse not to quit smoking. Poor glycemic control in diabetics is associated with the development of complications including diabetic neuropathy. Smoking does not affect insulin resistance.
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The Sullivan Commission on Diversity in the Healthcare Workforce did a study in 2004 and determined that only 9% of which group came from diverse cultural groups?
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