The nurse teaches a class for the public about diabetes mellitus. Which individual does the nurse assess as being at highest risk for developing diabetes?
1. The 38-year-old client who smokes one pack of cigarettes per day
2. The 42-year-old client who is 50 pounds overweight
3. The 50-year-old client who does not get any physical exercise
4. The 56-year-old client who drinks three glasses of wine each evening
2
Rationale 1: Smoking is a serious health concern but is not a specific risk factor for diabetes.
Rationale 2: Obesity increases the likelihood of developing diabetes mellitus due to overstimulation of the endocrine system.
Rationale 3: Exercise is important, but a lack of exercise is not as big of a risk factor as obesity.
Rationale 4: Consuming alcohol is associated with liver disease but is not as high a risk factor for diabetes as obesity.
Global Rationale: Obesity increases the likelihood of developing diabetes mellitus due to overstimulation of the endocrine system. Smoking is a serious health concern but is not a specific risk factor for diabetes. Exercise is important, but a lack of exercise is not as big of a risk factor as obesity. Consuming alcohol is associated with liver disease but is not as high a risk factor for diabetes as obesity.
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