A patient newly diagnosed with type 2 diabetes mellitus asks the nurse why she has to take a pill instead of insulin. The nurse explains that in type 2 diabetes mellitus, the body still makes insulin

What other information is pertinent for the nurse to relay? a. Overweight and underactive people can-not simply use the insulin produced.
b. Metabolism is slowed in some people, so they have to take a pill to speed up their metabolism.
c. Sometimes the autoimmune system works against the action of the insulin.
d. The cells become resistant to the action of insulin. Pills are given to increase the sen-sitivity.


D
Type 2 diabetes mellitus is a disease in which the cells become resistant to the action of insulin and the blood glucose level rises. Oral hyperglycemic agents make the cells more sensitive.

Nursing

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Type of college degree (associate's, bachelor's, master's, doctorate) is measured on which of the following scales?

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A patient who is taking warfarin has an international normalized ratio (INR) of 5.5. The nurse will anticipate giving

a. fresh frozen plasma. b. intravenous iron. c. oral vitamin K. d. protamine sulfate.

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Mr. W, 53 years old, is seen in the clinic with concerns about his left foot. He has a 40-year history of type 1 diabetes with "fairly good" control on twice-daily insulin

He denies injury but states that he tripped a few months previous and that his foot is sore when he walks. Physical examination reveals an edematous, erythemic, and warm foot. There is a superficial ulcer on the plantar surface. Which of the following is the most likely diagnosis? a. Fallen arch b. Arthritis c. Charcot joint d. Sprained ankle

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The nurse and client were interacting during a one-to-one session on the psychiatric unit. In re-sponse to the nurse's statement, "Tell me about your family," the client became silent and dis-played nonverbally that he was uncomfortable

Which of these statements reflects the nurse's sensitivity to the client? 1. "I'm so sorry. I didn't realize your family was a problem for you." 2. "Learning to express negative feelings will assist you in getting well." 3. "Perhaps you can talk about your feelings to the physician next time you meet." 4. "That seems to be a difficult subject for you. We can discuss it later, if you pre-fer."

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