The nurse is describing the action of insulin in the body to a client newly diagnosed with type 1 diabetes. Which of the following would the nurse explain as being the primary action?
A) It carries glucose into body cells.
B) It aids in the process of gluconeogenesis.
C) It stimulates the pancreatic beta cells.
D) It decreases the intestinal absorption of glucose.
A
Feedback:
Insulin carries glucose into body cells as their preferred source of energy.
Besides, it promotes the liver's storage of glucose as glycogen and inhibits the breakdown of glycogen back into glucose. Insulin does not aid in gluconeogenesis but inhibits the breakdown of glycogen back into glucose. Insulin does not have an effect on the intestinal absorption of glucose.
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The nurse is teaching a group of older adults about changes in sleep patterns due to the aging process. Which statement by older adults indicates understanding of the nurse's teaching regarding the use of nonpharmacologic therapies for sleep?
1. "We should avoid coffee, tea, or other fluids in the evening hours." 2. "An herbal remedy such as melatonin can help us sleep better." 3. "Taking long naps during the day will help us sleep better at night." 4. "Taking a sleeping pill every night will improve our total sleep time."
A patient, an African American, is the mother of a 9-year-old child with sickle cell anemia. She asks the nurse if sickle cell anemia occurs frequently in her race. The correct response is that
a. it is a very rare disease. b. approximately 1 of 500 African Americans has sickle cell anemia. c. approximately 1 of 2,500 African Americans has the disease. d. approximately 1 of 10 African Americans has the disease.
A child who has juvenile idiopathic arthritis and who has been taking methotrexate [Rheumatrex] will begin a course of abatacept [Orencia]. What will the nurse include when teaching the child's family about this drug?
a. That abatacept and methotrexate must both be taken to be effective b. To continue getting vaccinations during therapy with abatacept c. That signs of infection may warrant im-mediate discontinuation of abatacept d. That a tumor necrosis factor (TNF) anta-gonist may be added if this therapy is not effective
The nurse clarifies the difference between an HMO (health maintenance organization) and a fee-for-service plan by pointing out that an HMO (select all that apply):
1. requires a set fee from each client. 2. allows clients to select their own health care provider. 3. permits admission to any inpatient facility. 4. offers limited referral options. 5. provides both inpatient and outpatient care.