If injection sites are not rotated regularly, the patient with diabetes mellitus may suffer from which of the following?
Lipodystrophy
Petechiae
Hematoma
Pustules
The Correct Answer is A
A. Lipodystrophy: Lipodystrophy refers to a localized loss of fat tissue or a change in the distribution of fat tissue due to repeated injections at the same site. In patients with diabetes mellitus, injecting insulin into the same site repeatedly can lead to lipodystrophy, affecting insulin absorption and glycaemic control.
B. Petechiae: Petechiae are small, red or purple spots that appear on the skin due to bleeding under the skin. They are not typically associated with injection site issues but rather with conditions such as thrombocytopenia or blood clotting disorders.
C. Hematoma: Hematoma is a localized collection of blood outside the blood vessels, often resulting from injury or trauma. It can occur at injection sites if a blood vessel is inadvertently punctured during the injection process.
D. Pustules: Pustules are small, pus-filled lesions on the skin, usually associated with infections such as acne or folliculitis. They are not typically related to injection site issues in patients with diabetes mellitus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The patient uses OTC drugs prophylactically: OTC (over-the-counter) medications used appropriately shouldn't directly cause microbial repopulation.
B. The patient stops taking the drug when he or she begins to feel better: This is the most concerning habit. Stopping antibiotics early allows susceptible microbes to survive and multiply, potentially leading to a recurrent infection.
C. The patient switches to multiple drug therapy from single drug therapy: This might be done under a doctor's supervision for complex infections, and wouldn't necessarily promote repopulation.
D. The patient increases the drug dosage when he or she perceives that the therapeutic effect is slowing down: Increasing the dosage without consulting a doctor is not recommended, but it wouldn't necessarily cause repopulation if the original dose was effective.
Correct Answer is B
Explanation
A. Yeast: Yeast allergies are unrelated to cefazolin or other beta-lactam antibiotics.
B. Penicillins: Cefazolin is a cephalosporin antibiotic, and there is a potential for cross-reactivity with penicillins due to their similar beta-lactam ring structure. Checking for a penicillin allergy is essential before administering cefazolin.
C. Macrolides: Macrolides have a different structure and do not cross-react with cephalosporins, so a history of macrolide allergy is not directly relevant.
D. Sulfonamides: Sulfonamides have a different chemical structure, and there is no significant cross-reactivity with cephalosporins.
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