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A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about the pathophysiology
of the disease. Which of the following statements by the client indicates an understanding of the
teaching?
"My cells are resistant to the effects of insulin"
"My body breaks down sugars too efficiently"
"My pancreas does not produce insulin"
"My body produces antibodies against pancreatic beta cells" - CORRECT ANSWERS-A "My
cells are resistant to the effects of insulin"
The client who has type 2 diabetes mellitus will have resistance to insulin and a decrease in the secretion
of insulin by the pancreatic beta cells
A nurse is reinforcing with a client who has type 1 diabetes mellitus about exercise. Which of the
following statements should the nurse include in the teaching?
"You should exercise during a peak insulin time"
"Wear a medical alert identification tag when you exercise"
"Exercise can decrease the effects of insulin and cause the blood glucose levels to increase"
, "You will get the most benefit from exercise when your glucose levels are higher than normal" -
CORRECT ANSWERS-B. "Wear a medical alert identification tag when you exercise"
A nurse is preparing a 24-hour urine specimen for a client who is suspected to have pheochromocytoma.
Which of the following laboratory tests from the 24-hour urine specimen should the nurse use to
determine the client's condition?
Creatinine clearance
Catecholamine metablolites
17-hydroxycorticosteroids (17-OHCS)
Protein - CORRECT ANSWERS-B Catecholamine metabolites
The nurse should expect 24-hr urine specimen to test for Catecholamine metabolites. The test is used to
determine if the client has pheochromocytoma, which measures the level of catecholamines
(epinephrine and norepinephrine) secretion in a 24-hr urine sample. Pheochromocytoma is a tumor of
the adrenal gland that causes excess release of the catecholamines ( epinephrine and norepinephrine),
which are hormones that regulate blood pressure and heart rate.
A nurse is caring for a client who had a thyroidectomy to treat hyperthyroidism caused by an adenoma.
Which of the following findings should the nurse report to the provider? (Select all that apply)
Tachycardia and hypertension
Respiratory rate 16/min
Negative Chvostek's sign
Laryngeal stridor and hoarseness