A patient with type 2 diabetes is more likely than a client with type 1 diabetes to develop which of the following complications?
Hyperglycemic hyperosmolar-nonketotic syndrome
Hypoglycemia
Diabetic ketoacidosis
Somogyi effect
The Correct Answer is A
A. Hyperglycemic hyperosmolar-nonketotic syndrome (HHNS) is more commonly associated with type 2 diabetes. It is characterized by very high blood sugar levels and dehydration, but without significant ketone production. It typically occurs in older adults with type 2 diabetes who experience severe dehydration and illness.
B. Hypoglycemia is more commonly associated with type 1 diabetes due to the frequent need for insulin therapy, which can cause low blood sugar levels. In type 2 diabetes, hypoglycemia is less common unless the patient is on insulin or certain oral medications.
C. Diabetic ketoacidosis (DKA) is primarily a complication of type 1 diabetes. It occurs when there is a severe insulin deficiency, leading to the breakdown of fat for energy and the production of ketones. While DKA can occur in type 2 diabetes, it is far more common in type 1.
D. The Somogyi effect refers to rebound hyperglycemia following an episode of hypoglycemia, typically occurring overnight. It is more commonly seen in type 1 diabetes, especially when insulin doses are too high, causing low blood sugar at night followed by a rebound increase in blood sugar.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Inhaling toxic fumes can cause damage to the lungs and airways, leading to inflammation and fluid accumulation in the alveoli, triggering acute respiratory distress syndrome (ARDS).
B. Severe lung infections, such as pneumonia, can lead to ARDS due to widespread inflammation and fluid in the lungs, which impairs gas exchange.
C. All of these can trigger acute respiratory distress syndrome. ARDS can be caused by a variety of factors, including inhalation of toxic fumes, severe lung infections, and aspiration of stomach contents, all of which can lead to inflammation and damage to the lung tissue.
D. Aspirating stomach contents into the lungs can lead to aspiration pneumonia, which can cause ARDS due to the inflammatory response in the lungs.
Correct Answer is D
Explanation
A. While high blood glucose levels can affect nerve function, excessive glucose exposure does not specifically target the brain and spinal cord in a way that causes neuropathy.
B. Neuropathy in diabetes is not caused by the inability to provide glucose to the brain and spinal cord, but rather by the effects of high blood glucose levels on peripheral nerves.
C. Infection in the nerves is not the primary cause of diabetic neuropathy, although infection can occur in diabetic patients due to poor circulation and immune system impairment.
D. Chronic high blood glucose levels can cause thickening of blood vessels, leading to poor circulation (ischemia) that deprives nerves of oxygen and nutrients, ultimately causing nerve damage. This is the primary cause of diabetic neuropathy.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.