the nurse is teaching a community class to people with type 2 diabetes mellitus which explanation would explain the development of type 2 diabetes

ATI RN

ATI RN Custom Exams Set 4

1. The nurse is teaching a community class to people with Type 2 diabetes mellitus. Which explanation would explain the development of Type 2 diabetes?

A. The islet cells in the pancreas stop producing insulin
B. The client eats too many foods that are high in sugar
C. The pituitary gland does not produce vasopressin
D. The cells become resistant to the circulating insulin

Correct answer: D

Rationale: The correct answer is D. In Type 2 diabetes, the primary issue is insulin resistance, where cells do not respond effectively to insulin. Choice A is incorrect because in Type 1 diabetes, the islet cells in the pancreas stop producing insulin. Choice B is not directly related to the development of Type 2 diabetes but rather to its management. Choice C is incorrect as it refers to a dysfunction in vasopressin production, which is not related to Type 2 diabetes.

2. Patients with gallbladder disease should reduce their intake of:

A. Protein
B. Sodium
C. Cholesterol
D. Fat

Correct answer: D

Rationale: Patients with gallbladder disease should reduce their intake of fat because high-fat foods can trigger gallbladder symptoms such as pain and indigestion. While proteins, sodium, and cholesterol may also need to be moderated for overall health, reducing fat intake is particularly crucial for managing gallbladder issues.

3. The client with chronic alcoholism has chronic pancreatitis and hypomagnesemia. What should the nurse assess when administering magnesium sulfate to the client?

A. Deep tendon reflexes
B. Arterial blood gases
C. Skin turgor
D. Capillary refill time

Correct answer: A

Rationale: The correct answer is A: Deep tendon reflexes. When administering magnesium sulfate to a client with chronic alcoholism, chronic pancreatitis, and hypomagnesemia, the nurse should assess deep tendon reflexes. Magnesium sulfate can depress the central nervous system and decrease deep tendon reflexes, so monitoring them is crucial. Choices B, C, and D are not directly related to the assessment needed when administering magnesium sulfate in this scenario. Arterial blood gases are not typically assessed specifically for magnesium sulfate administration; skin turgor and capillary refill time are more related to hydration status and perfusion, respectively.

4. Which vitamin deficiency is commonly associated with prolonged antibiotic use?

A. Vitamin A
B. Vitamin B6
C. Vitamin C
D. Vitamin K

Correct answer: D

Rationale: The correct answer is Vitamin K. Prolonged antibiotic use can disrupt the gut flora, leading to Vitamin K deficiency and an increased risk of bleeding. Vitamin A deficiency is not commonly associated with antibiotic use. Similarly, Vitamin B6 and Vitamin C deficiencies are not typically linked to prolonged antibiotic use.

5. A patient with a history of gout should avoid which type of food?

A. Red meat
B. Chicken
C. Fish
D. Dairy

Correct answer: A

Rationale: A patient with a history of gout should avoid foods high in purines, which can exacerbate gout attacks. Red meat is particularly high in purines, so it is the type of food that should be avoided. Chicken and fish are lower in purines compared to red meat, making them better choices for individuals with gout. Dairy products are generally not associated with triggering gout attacks, so they can be consumed in moderation by patients with gout.