A client who is newly diagnosed with type 1 diabetes has smoked for 30 years. When teaching the client on ways to optimize health outcomes, what should the nurse explain about the effects of smoking and diabetes?
A)Smoking is a major factor in the development of diabetic neuropathy.
B)Smoking increases insulin resistance.
C)Smoking accelerates atherosclerotic changes in blood vessels.
D)Smoking promotes weight gain.

Question

A client who is newly diagnosed with type 1 diabetes has smoked for 30 years. When teaching the client on ways to optimize health outcomes, what should the nurse explain about the effects of smoking and diabetes?
A)Smoking is a major factor in the development of diabetic neuropathy.
B)Smoking increases insulin resistance.
C)Smoking accelerates atherosclerotic changes in blood vessels.
D)Smoking promotes weight gain.

Quizplus · Accepted Answer

A)Smoking is especially unhealthy for diabetic clients because smoking accelerates the atherosclerotic effects that occur in blood vessels from elevated levels of blood glucose. Smoking is not associated with weight gain; in fact, people use weight gain as an excuse not to quit smoking. Poor glycemic control in diabetics is associated with the development of complications including diabetic neuropathy. Smoking does not affect insulin resistance.
B)Smoking is especially unhealthy for diabetic clients because smoking accelerates the atherosclerotic effects that occur in blood vessels from elevated levels of blood glucose. Smoking is not associated with weight gain; in fact, people use weight gain as an excuse not to quit smoking. Poor glycemic control in diabetics is associated with the development of complications including diabetic neuropathy. Smoking does not affect insulin resistance.
C)Smoking is especially unhealthy for diabetic clients because smoking accelerates the atherosclerotic effects that occur in blood vessels from elevated levels of blood glucose. Smoking is not associated with weight gain; in fact, people use weight gain as an excuse not to quit smoking. Poor glycemic control in diabetics is associated with the development of complications including diabetic neuropathy. Smoking does not affect insulin resistance.
D)Smoking is especially unhealthy for diabetic clients because smoking accelerates the atherosclerotic effects that occur in blood vessels from elevated levels of blood glucose. Smoking is not associated with weight gain; in fact, people use weight gain as an excuse not to quit smoking. Poor glycemic control in diabetics is associated with the development of complications including diabetic neuropathy. Smoking does not affect insulin resistance.

A Client Who Is Newly Diagnosed with Type 1 Diabetes