Which is the most common complication expected in clients with type 1 diabetes Mellitus?
None of the above
Patient is at risk to forms a cluster of metabolic dysregulations including insulin resistance, atherogenic dyslipidemia, central obesity, and hypertension. Patient may present with high blood pressure, central obesity, high triglycerides and
low HDL
Patient who is at risk may be due to an absolute or relative insulin deficiency or from a decreased response of the tissue to the circulating insulin (insulin resistance). Resulting in glycogenolysis, gluconeogenesis, and a decreased uptake of glucose by the peripheral tissue which make the patient very thirsty, experiencing altered mental status, high serum osmolarity and high blood glucose level.
The Correct Answer is D
Choice A rationale: This is incorrect.
Choice B rationale: This describes metabolic syndrome, a collection of risk factors, but not a direct complication of type 1 diabetes.
Choice C rationale: This describes hyperosmolar hyperglycemic state, which is more characteristic of severe hyperglycemia but not the most common complication in type 1 diabetes.
Choice D rationale: Diabetic ketoacidosis (DKA) is a frequent and serious complication in type 1 diabetes, characterized by ketone formation due to the absence of insulin, leading to metabolic acidosis and potential life-threatening symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: This refers to postrenal AKI, which is caused by an obstruction in the urinary tract that prevents urine from leaving the body.
Choice B rationale: This refers to AKI in general and is not specific compared to choice D.
Choice C rationale: This refers to intrinsic AKI, which is caused by damage to the kidney tissue or cells from various causes, such as inflammation, infection, toxins, or ischemia.
Choice D rationale: This is correct because it is pre-renal AKI, a condition in which kidney blood flow may become significantly reduced, including cases where a significant amount of fluid has been lost. This situation suggests potential hypovolemia (low blood volume) due to the massive GI bleed, which can lead to reduced kidney blood flow and subsequent acute kidney injury.
Correct Answer is D
Explanation
Choice A rationale: The combination treats gonorrhea and chlamydia but not trichomonas.
Choice B rationale: While important, this combination aims to treat multiple potential infections, not solely prevent reinfection.
Choice C rationale: The dual therapy doesn’t cover syphilis; it's specifically targeted for gonorrhea and chlamydia.
Choice D rationale: Azithromycin covers both gonorrhea and chlamydia, so the combination ensures coverage for both possible infections.
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