questions are based on the scenario. please answer with rationale CHAPTER 7. END
ID: 212971 • Letter: Q
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questions are based on the scenario. please answer with rationale
CHAPTER 7. ENDOCRINE DISORDERS Case Study 1 Class/Group: instructions: All questions apply to this case study. Your response should be brief and to the point. Adequate space has been provided for answers. When asked to listed in order of priority or significance. Do not assume information that is not provided. Please print or write legibly o of priority several answers, they should be You are volunteering at a Health Fair being conducted at a local community health clinic in a large metropolitan area. You are assigned to work with an advanced practice nurse in diabetes management and are assisting in the screening process for hyperglycemia and high WHR (waist-hip ratio). During the course of the day you meet M.M., a 42-year-old African American woman, whom you suspect has some type of diabetes mellitus. A nursing history reveals the following findings: Ht 5'6", Wt 210 lb, wHR-0.96. .'s mother, age 72, and two maternal aunts have type II diabetes mellitus (DM). M.M. has smoked 1 packs/day of cigarettes for over 25 years and admits she should get more exercise. Screening glucose level (finger stick) is 310 mg/dl. On interview, M.M.'s only complaint is increasing fatigue over the past month and mild nocturia 1. List the major risk factors for type II DM. Place a check mark () next to the risk factors that M.M. has. Age Family history. Male pattern obesity (waist-hip ratio [WHRI >1.0 for men and 0.8 for women) Hispanic, African American, or Native American. 2. What is the manifestation of type II DM that M.M. has (above). 3. Identify additional data that would be necessary to arrive at a definitive diagnosis.Explanation / Answer
1. Majoe risk factors of type 2 DM are: Weight
Age
Inactivity
Race
Family history
High blood pressure
Gestational diabetes
plycystic ovarian syndrome
Risk factors that MM has:
Age
Family history
Male pattern obesity
Hispanic, African American or Native American
2. Manifestations of type 2 diabetes mellitus that MM has are increasing fatigue and mild mocturia.
3. Tests that need to be performed for definitive diagnosis are oral glucose tolerance test, HbA1C test, fasting blood sugar test.
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