The nurse has instructed a client about type 2 diabetes mellitus. Which of the following statements would indicate the client understands the instructions?
1. "It happens to everyone who has gained weight."
2. "I have to watch what I eat and exercise."
3. "I will never have to take insulin."
4. "The cells that make insulin were destroyed."
2
Persons with type 2 diabetes control their blood glucose levels with diet, exercise, and medications. Type 1 diabetes mellitus is characterized by a destruction of beta cells. Not every person who gains weight develops diabetes mellitus. Insulin is not necessary for the client diagnosed with type 2 diabetes at first, but as the beta cells continue to deteriorate, insulin may be necessary.
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What are supportive interventions that can assist an adolescent with a chronic illness to meet developmental milestones? (Select all that apply.)
a. Encourage activities appropriate for age. b. Avoid discussing planning for the future. c. Provide instruction on interpersonal and coping skills. d. Emphasize good appearance and wearing of stylish clothes. e. Understand that the adolescent will not have the same sexual needs.
Clinical manifestations of sodium excess (hypernatremia) include which signs or symptoms?
a. Hyperreflexia b. Abdominal cramps c. Cardiac dysrhythmias d. Dry, sticky mucous membranes
Capitation and managed care programs are likely to strongly influence health care delivery because they:
a. provide intense services directed toward keeping clients in the community b. reduce the incidence of mental disorders within certain populations c. are prospective payment systems that contain rising costs of health care d. offer multiple providers for clients with mental illnesses
What is the most common pathophysiologic process that triggers aplastic anemia (AA)?
a. Autoimmune disease against hematopoiesis by activated cytotoxic T (Tc) cells b. Malignancy of the bone marrow in which unregulated proliferation of erythrocytes crowd out other blood cells c. Autoimmune disease against hematopoiesis by activated immunoglobulins d. Inherited genetic disorder with recessive X-linked transmission