While assessing a 14 year old with a known history of diabetes ...

[ereecah]

While assessing a 14 year old with a known history of diabetes mellitus Type 2, the nurse notes darker skin around the teen's axilla. The nurse should:
 
  1. Contact the doctor immediately
   2. Provide a wash cloth and soap to cleanse the area.
   3. Document the findings and note that acanthosis nigricans is present.
   4. Ask the patient if he/she has had a recent infection.

Question 2

Home management for a teen diagnosed with diabetes mellitus Type 2 would include:
 
  1. Learning to measure foods and count carbohydrates.
   2. Participating in exercise, such as riding a bike.
   3. Creating a chart to indicate what foods should be eaten each day.
   4. All of the above should be included in home management.

[macybarnes]

Answer to Question 1

3
Feedback
1. This is a common condition in a teen with DM2 and does not require immediate doctor notification.
2. The area is clean. This is a discoloration in the skin.
3. Acanthosis nigricans occurs in individuals with DM2 and is a discoloration of the skin.
4. DM2 is the reasoning for the darker skin, not an infection.

Answer to Question 2

4
Feedback
1. The measurement and counting of carbohydrates is needed to maintain an adequate balance for a teen's blood glucose level.
2. Exercise will help the body burn fat and increase metabolism to decrease the need for insulin.
3. A chart will help a teen identify the correct foods to eat.
4. The measurement and counting of carbohydrates is needed to maintain an adequate balance for a teen's blood glucose level. Exercise will help the body burn fat and increase metabolism to decrease the need for insulin. A chart will help a teen identify the correct foods to eat.

[ereecah]

Excellent

[olderstudent]

YES! Correct, THANKS for helping me on my review