A teenaged client appears to have developed hybrid diabetes. The nurse is aware that this type of diabetes causes the client to have which of the following? (Select all that apply.)
a. insulin resistance associated type 1 diabetes
b. antibodies against pancreatic islet cells associated with autoimmunity
c. antibodies against pancreatic islet cells associated with type 1 diabetes
d. insulin resistance associated with obesity
e. insulin resistance associated type 2 diabetes
f. antibodies against pancreatic islet cells associated with type 2 diabetes
B, C, D, E
Youth with hybrid or mixed diabetes typically have insulin resistance associated with obesity and type 2 diabetes and antibodies against pancreatic islet cells associated with autoimmunity and type 1 diabetes.
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a. Tobramycin (Tobrex) b. Apraclonidine (Iopidine) c. Gentamicin (Genoptic) d. Ciprofloxacin (Ciloxan)
Which of the following tests are appropriate to order to initially evaluate for this condition?
A 68-year-old retired truck driver comes to your office for evaluation of swelling in his legs. He is a smoker and has been taking medications to control his hypertension for the past 25 years. You are concerned about his risk for peripheral vascular disease. A) Venogram B) CT scan of the lower legs C) Ankle–brachial index (ABI) D) PET scan
A patient with hypothyroidism as a result of Hashimoto's thyroiditis asks how long thyroid replacement drugs will need to be taken. What is the nurse's best response?
a. "You will need to take the thyroid replacement drug until the goiter is completely gone." b. "You will need thyroid replacement drugs for the rest of your life because thyroid function will not return." c. "The thyroiditis will be cured with antibiotics and then you will no longer need the thyroid replacement drugs." d. "When your thyroid function studies indicate a normal blood level of thyroid hormones you will be able to discontinue the drugs."
After testing is complete, D.V. is diagnosed with MS. He confides in you that he has been depressed since
his parents' divorce and the onset of these symptoms. He tells you that he knows his girlfriend has been unfaithful, but he is afraid of being alone. He is afraid if he tells her about his MS diagnosis, she will leave him. What are you going to do with this information?