The nurse is assessing a patient who has a family history of type ...

[arivle123]

The nurse is assessing a patient who has a family history of type 2 diabetes mellitus. Which finding would require follow-up by the nurse?
 
  1. a new prescription for levothyroxine (Synthroid) for hypothyroidism
  2. decreased waist-to-hip ratio through dietary changes
  3. delivery of a baby that weighed 8 pounds and 12 ounces
  4. a fasting blood glucose level of 89 mg/dL

Question 2

The manager observes a graduate nurse teaching a 5-year-old patient with diabetes mellitus. The manager determines that content being instructed is appropriate when the nurse states, Insulin acts like:
 
  1. building blocks that help make protein into strong muscles.
  2. a wagon that carries sugar into the cells of the body.
  3. a mud pie that makes the blood vessels thick and sticky.
  4. salty potato chips that make people feel very thirsty.

[nekcihc358]

Answer to Question 1

Correct Answer: 1

Many drugs, including thyroid hormone, impair insulin secretion, precipitating DM in people with predisposing insulin resistance. Decreasing the waist-to-hip ration, delivering a baby that weighted 8 lbs. and 12 ounces, and having a fasting blood glucose level of 89 are all desirable findings for the patient with a family history of type 2 diabetes mellitus.

Answer to Question 2

Correct Answer: 2
The manifestations of type 1 DM are the result of a lack of insulin to transport glucose across the cell membrane into the cells. Insulin acts as a transport mechanism, allowing insulin into the body's cells. The analogy of the wagon carrying sugar into the cells of the body is appropriate for teaching a 5-year-old child about insulin therapy. Insulin does not make protein into muscle or make blood vessels thick and sticky. A scarcity of insulin may lead to polydipsia.