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 B
Explanation
Choice A rationale: A calcium level of 8.6 mg/dL is within the normal range.
Choice B rationale: An elevated white blood cell count (WBC) of 19,000 mm3 indicates a potential infection or inflammatory process, requiring immediate attention, especially in a client receiving peritoneal dialysis.
Choice C rationale: A serum pH of 7.33 is within the normal range.
Choice D rationale: A hemoglobin level of 9 mg/dL might indicate anemia, but in a client receiving dialysis, it might not require immediate reporting unless it significantly drops further.
Correct Answer is D
Explanation
Choice A rationale: A breast lump that increases in size before the menstrual period might be related to hormonal changes and is not necessarily indicative of a concerning issue.
Choice B rationale: Bilateral breast nodules that are tender with palpation might be related to benign conditions or hormonal changes.
Choice C rationale: A small, mobile, rubbery breast lump could suggest a benign condition like a fibroadenoma, which might not be as concerning.
Choice D rationale: A breast nodule that is 1 cm in size, nontender, and fixed could potentially raise concerns about malignancy and requires further evaluation.
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