A nurse has provided education regarding type 2 diabetes mellitus ...

[vHAUNG6011]

A nurse has provided education regarding type 2 diabetes mellitus to a newly diagnosed client. Which statements would the nurse interpret as indicating need for additional education?
 
  1. Well, at least the medications I will be on will help me lose weight.
  2. I can take an oral medication and will never have to inject myself.
  3. I can increase my body's ability to use the insulin I make by exercising regularly.
  4. I have several lifestyle changes to make.
  5. I don't run the risk of blindness and kidney disease like type 1 diabetics.

Question 2

A child has been ordered the most commonly prescribed medication for ADHD. What medication does the nurse expect?
 
  1. Clonidine (Kapvay)
  2. Methamphetamine (Desoxyn)
  3. Methylphenidate (Ritalin)
  4. Sertraline (Zoloft)

[Smiles0805]

Answer to Question 1

1,2,5
Rationale 1: Some of the medications used for type 2 diabetes cause weight gain.
Rationale 2: As type 2 diabetes progresses, the cells that produce insulin may fail, causing the need for insulin. Some medications especially designed to treat type 2 diabetes are injected.
Rationale 3: The activity of insulin receptors can be increased by physical exercise.
Rationale 4: Lifestyle changes can help the type 2 diabetic avoid complications.
Rationale 5: If type 2 diabetes is poorly managed, these complications can occur.
Global Rationale: Some of the medications used for type 2 diabetes cause weight gain. As type 2 diabetes progresses, the cells that produce insulin may fail, causing the need for insulin. Some medications especially designed to treat type 2 diabetes are injected. If type 2 diabetes is poorly managed, these complications can occur. The activity of insulin receptors can be increased by physical exercise. Lifestyle changes can help the type 2 diabetic avoid complications.

Answer to Question 2

3

Rationale 1:Clonidine (Kapvay) is incorrect because methylphenidate (Ritalin) is the most commonly prescribed medication for ADHD.
Rationale 2:Methamphetamine (Desoxyn) is incorrect because methylphenidate (Ritalin) is the most commonly prescribed medication for ADHD.
Rationale 3: Methylphenidate (Ritalin) is the most commonly prescribed medication for ADHD.
Rationale 4:Sertraline (Zoloft) is incorrect because methylphenidate (Ritalin) is the most commonly prescribed medication for ADHD.

Global Rationale: Methylphenidate (Ritalin) is the most commonly prescribed medication for ADHD. Clonidine (Kapvay), a non-CNS stimulant, is sometimes prescribed when patients are extremely aggressive, active, or have difficulty falling asleep. Methamphetamine (Desoxyn) is a CNS stimulant but is not the most commonly prescribed medication for ADHD. Sertraline (Zoloft) is a SSRI antidepressant and not the most commonly prescribed medication for ADHD.