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A 26-year-old patient is admitted to the hospital with a new diagnosis of diabetes, a blood glucose level of 680 mg/dL and ketones in the blood and urine. Which type of diabetes should the nurse suspect?

A.

Gestational

B.

Prediabetes

C.

Type 1

D.

Type 2

Answer and Explanation

The Correct Answer is C

A. Gestational: Gestational diabetes occurs during pregnancy and does not involve ketones in blood and urine, which are indicative of diabetic ketoacidosis (DKA).

B. Prediabetes: Prediabetes involves mildly elevated glucose levels but does not present with ketones or DKA.

C. Type 1: Type 1 diabetes is characterized by an absolute insulin deficiency, leading to hyperglycemia and ketone production. DKA is a hallmark presentation of untreated or newly diagnosed Type 1 diabetes.

D. Type 2: Type 2 diabetes is less likely to present with DKA as insulin production is typically sufficient to prevent significant ketone formation.


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Related Questions

Correct Answer is A

Explanation

A. Pathologic fractures: Hyperparathyroidism causes excessive calcium resorption from bones, leading to bone fragility and an increased risk of fractures.

B. Fluid retention: Fluid retention is not a typical feature of hyperparathyroidism; dehydration may occur due to hypercalcemia-induced diuresis.

C. Dysphagia: Dysphagia is unrelated to hyperparathyroidism; it may occur with other conditions such as esophageal disorders.

D. Impaired skin integrity: Skin integrity issues are not directly related to hyperparathyroidism.

Correct Answer is C

Explanation

A. Gestational: Gestational diabetes occurs during pregnancy and does not involve ketones in blood and urine, which are indicative of diabetic ketoacidosis (DKA).

B. Prediabetes: Prediabetes involves mildly elevated glucose levels but does not present with ketones or DKA.

C. Type 1: Type 1 diabetes is characterized by an absolute insulin deficiency, leading to hyperglycemia and ketone production. DKA is a hallmark presentation of untreated or newly diagnosed Type 1 diabetes.

D. Type 2: Type 2 diabetes is less likely to present with DKA as insulin production is typically sufficient to prevent significant ketone formation.

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