Difficulty: Medium
Average Score: 72%
Simulated
Passage / Scenario
Nurse NotesLaboratory Results
The client is a 58-year-old male who wants to be screened for diabetes mellitus. The client has a sister who has type 2 diabetes mellitus. He has a history of depression, which is treated with paroxetine 10 mg PO every day. The client also discloses that he occasionally takes cannabis in edible form. He denies smoking or drinking. He works in a chemical factory where he is occasionally exposed to fumes. The client's body mass index (BMI) is 28 kg/m3.
Based on the laboratory data, the client has diabetes mellitusprediabeteshypoglycemiagestational diabetes related to fatty liver diseaseimpaired glucose tolerancetolerance occupational exposurelack of insulin production.
Correct answer
A,B
Rationale
Prediabetes and impaired glucose tolerance are indicated by elevated but sub-diabetic glucose levels, reflecting insulin resistance, unlike hypoglycemia or gestational diabetes which do not fit the client's profile.