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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale: Peptic ulcer disease doesn't typically present with ecchymosis around the umbilicus (Cullen's sign) or significantly elevated amylase and lipase levels.

Choice B rationale: Gastroenteritis is less likely given the specific symptoms, physical exam findings, and laboratory results indicating pancreatic involvement.

Choice C rationale: Acute pancreatitis fits the clinical picture with epigastric pain after heavy alcohol use, persistent nausea/vomiting, tenderness, and elevated amylase and lipase levels.

Choice D rationale: Diverticulitis typically presents with symptoms more localized to the lower abdomen and doesn't cause the characteristic findings seen in this scenario.

A. Seizure B. Anorexia C. Anhidrosis D. Bradycardia

Correct Answer is A

Explanation

Choice A rationale: Hypoglycemia (blood sugar less than 30 mg/dL) can lead to seizures due to inadequate glucose supply to the brain.

Choice B rationale: Anorexia (loss of appetite) is not directly associated with low blood sugar but can be a symptom of other conditions.

Choice C rationale: Anhidrosis refers to the inability to sweat and is not typically associated with low blood sugar.

Choice D rationale: Bradycardia (slow heart rate) can be a symptom of severe hypoglycemia but is not the primary complication expected at this blood sugar level.

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Which is the most common complication expected in clients with type 1 diabetes Mellitus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 44-year-old male with abdominal pain and persistent nausea/vomiting Exhibits here What condition the client is most likely experiencing?

Correct Answer is C

Explanation

Which complication is suspected in a client whose blood sugar is less than 30 mg/dL?

Correct Answer is A

Explanation

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