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: Cloudy efluent doesn't necessarily indicate a need for emergency surgery unless accompanied by severe symptoms.
Choice B rationale: Cloudy efluent may indicate infection, so obtaining a culture and sensitivity test is crucial for appropriate treatment.
Choice C rationale: This step might be necessary if the efluent suggests infection, but sending a specimen for testing is the immediate priority.
Choice D rationale: This action isn't the first step; investigating the cause of cloudiness through testing is essential.
Correct Answer is A
Explanation
Choice A rationale: Cri du chat syndrome involves a high-pitched cry in infants and other distinct physical and developmental features, but it doesn't present with the described symptoms.
Choice B rationale: Klinefelter syndrome, characterized by an extra X chromosome (XXY) in males, typically presents with small testicles, gynecomastia (enlarged breast tissues), sexual dysfunction, and altered body proportions, such as long legs and a shorter trunk, aligning with the client's symptoms.
Choice C rationale: Patau syndrome (Trisomy 13) manifests with severe developmental issues, facial abnormalities, and other physical malformations, but the described symptoms are not typically associated with this syndrome.
Choice D rationale: Turner syndrome involves females with a missing or partially missing X chromosome (45, X), resulting in specific physical features and medical problems not consistent with the described symptoms in a male client.
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