A patient has new onset type I diabetes mellitus and asks why they need to check their blood glucose level so often. The nurse explains frequent monitoring is necessary to keep the blood glucose level stable for which of the following reasons?
High glucose levels cause the body to use proteins for energy, causing lactic acidosis.
Chronic elevated blood glucose levels damage cells and cause long-term chronic organ dysfunction.
Early identification of hypoglycemia is easier to treat resulting in better outcomes.
Carbohydrates are constantly being converted to glucose and utilized for extra energy stores.
The Correct Answer is B
A. High glucose levels cause the body to use proteins for energy, causing lactic acidosis – While hyperglycemia can lead to ketosis, it does not directly cause lactic acidosis.
B. Chronic elevated blood glucose levels damage cells and cause long-term chronic organ dysfunction – Hyperglycemia leads to complications such as neuropathy, nephropathy, and retinopathy, making glucose control essential.
C. Early identification of hypoglycemia is easier to treat resulting in better outcomes – While important, the primary reason for frequent monitoring is to prevent long-term complications.
D. Carbohydrates are constantly being converted to glucose and utilized for extra energy stores – This statement is not specific to diabetes management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Suggest the visitors stay a bit longer to provide support and distraction. – Noise and stimulation can worsen migraines.
B. Suggest the patient ambulates in the hallway to become fatigued, so they can rest. – Movement may increase pain.
C. Turn the lights and television off except for a night light. – Correct Answer. Migraines are worsened by light and noise, so a dark and quiet environment is best.
D. Turn on the television to be used as a distractor for the patient. – Bright lights and sound can aggravate symptoms.
Correct Answer is A
Explanation
A. Correct. Moving objects prevents injury during a seizure.
B. Incorrect. The patient should be placed on their side to maintain airway patency.
C. Incorrect. Restraining the patient can cause injury.
D. Incorrect. Never insert anything into a seizing patient’s mouth, as it can obstruct the airway or break teeth.
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