Author Question: A client at risk for the development of type 2 diabetes mellitus asks why weight loss will reduce ... (Read 105 times)

londonang · **on:** Jul 22, 2018

A client at risk for the development of type 2 diabetes mellitus asks why weight loss will reduce risk of the condition. Which of the following responses by the nurse is most correct?

1. The amount of foods taken in require more insulin to adequately metabolize them, resulting in diabetes..
2. Excess body weight impairs the body's release of insulin..
3. Thin people are less likely to become diabetic..
4. The physical inactivity associated with obesity causes a reduced ability by the body to produce insulin..

Question 2

The nurse is teaching a patient how to walk with crutches using a three-point gait. Which instruction is correct?

a. move the right crutch forward, then the left foot, followed by the left crutch, and finally the right foot
b. move the right crutch and the left foot forward together and then the left crutch and the right foot forward together
c. move the crutches and weak leg forward together, then move the weight-bearing leg forward
d. move the crutches forward, then swing the legs forward together

cuttiesgirl16 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Excess body weight impairs the body's release of insulin..

Rationale:
Beta cells of the body release insulin. Their actions are hindered as the amount of adipose tissue in the body increases. The amount of food taken in is not the issue as much as the excess body weight from taking in excess food. The body does require more insulin with a greater food intake, but that does not necessarily result in diabetes. While obesity is a risk factor for the development of diabetes, this does not meet the question posed by the client. Inactivity is directly linked to obesity, but it does not present a direct tie to the production of insulin.

Answer to Question 2

C
Moving the right crutch forward, then the left foot, followed by the left crutch, and finally the right foot describes the four-point gait. Moving the right crutch and the left foot forward together and then the left crutch and the right foot forward together describes the two-point gait. Moving the crutches and weak leg forward together, then moving the weight-bearing leg forward describes the three-point gait. Moving the crutches forward, then swinging the legs forward together describes the swing-through gait.