Author Question: The client has type 2 diabetes mellitus. The nurse has taught the client about the illness and ... (Read 85 times)

tnt_battle · **on:** Jul 23, 2018

The client has type 2 diabetes mellitus. The nurse has taught the client about the illness and evaluates that learning has occurred when the client makes which statement?

1. My beta cells just cannot produce enough insulin for my cells.
2. My peripheral cells have increased sensitivity to insulin.
3. My cells have increased their receptors, but there is not enough insulin.
4. My cells cannot use the insulin my pancreas makes.

Question 2

The physician has ordered a tricyclic antidepressant for a client with biological depression. The nurse expects to find which medications to be ordered for the client?

1. Amitriptyline (Elavil)
2. Citalopram (Celexa)
3. Duloxetine (Cymbalta)
4. Fluoxetine (Prozac)

gasdhashg · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

4
Rationale 1: The beta cells continue to produce insulin with type 2 diabetes.
Rationale 2: Peripheral cells have a decreased, not an increased, sensitivity to insulin.
Rationale 3: There is a decrease, not an increase, in receptor sites with type 2 diabetes.
Rationale 4: With type 2 diabetes mellitus, the pancreas produces insulin, but the cells cannot use it.
Global Rationale: With type 2 diabetes mellitus, the pancreas produces insulin, but the cells cannot use it. The beta cells continue to produce insulin with type 2 diabetes. Peripheral cells have a decreased, not an increased, sensitivity to insulin. There is a decrease, not an increase, in receptor sites with type 2 diabetes.

Answer to Question 2

1

Rationale 1: Amitriptyline (Elavil) is a tricyclic antidepressant.
Rationale 2:Citalopram (Celexa) is incorrect because this medication is an SSRI.
Rationale 3:Duloxetine (Cymbalta) is incorrect because this medication is an atypical antidepressant.
Rationale 4:Fluoxetine (Prozac) is incorrect because this medication is an SSRI.

Global Rationale: Amitriptyline (Elavil) is a tricyclic antidepressant. Citalopram (Celexa) is an SSRI. Duloxetine (Cymbalta) is incorrect because this medication is an atypical antidepressant. Fluoxetine (Prozac) is an SSRI.