A patient with newly diagnosed type 2 diabetes mellitus is admitted to a medical-surgical unit. The primary goal for this admission is education. Which of the following goals should the nurse incorporate into her teaching plan?

A) Maintenance of blood glucose levels between 180 and 200 mg/dL
B) Smoking reduction
C) An eye examination every 2 years, until age 50
D) Exercise and a weight-reduction diet


Ans: D
Feedback: Type 2 diabetes is often obesity-related; therefore, weight reduction may enhance the normalization of blood sugar. Weight reduction should be achieved by a healthy diet and exercise to increase carbohydrate metabolism. Blood glucose levels should be maintained within normal limits to prevent the development of diabetic complications. Patients with type 1 or 2 diabetes shouldn't smoke because of the increased risk of cardiovascular disease. A funduscopic examination should be done yearly to identify early signs of diabetic retinopathy.

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