A 26-year-old patient is admitted to the hospital with a new diagnosis of diabetes, a blood glucose level of 680 mg/dL and ketones in the blood and urine. Which type of diabetes should the nurse suspect?
Gestational
Prediabetes
Type 1
Type 2
The Correct Answer is C
A. Gestational: Gestational diabetes occurs during pregnancy and does not involve ketones in blood and urine, which are indicative of diabetic ketoacidosis (DKA).
B. Prediabetes: Prediabetes involves mildly elevated glucose levels but does not present with ketones or DKA.
C. Type 1: Type 1 diabetes is characterized by an absolute insulin deficiency, leading to hyperglycemia and ketone production. DKA is a hallmark presentation of untreated or newly diagnosed Type 1 diabetes.
D. Type 2: Type 2 diabetes is less likely to present with DKA as insulin production is typically sufficient to prevent significant ketone formation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Gestational: Gestational diabetes occurs during pregnancy and does not involve ketones in blood and urine, which are indicative of diabetic ketoacidosis (DKA).
B. Prediabetes: Prediabetes involves mildly elevated glucose levels but does not present with ketones or DKA.
C. Type 1: Type 1 diabetes is characterized by an absolute insulin deficiency, leading to hyperglycemia and ketone production. DKA is a hallmark presentation of untreated or newly diagnosed Type 1 diabetes.
D. Type 2: Type 2 diabetes is less likely to present with DKA as insulin production is typically sufficient to prevent significant ketone formation.
Correct Answer is B
Explanation
A. "I'll put lotion between my toes.": This increases the risk of fungal infections and should be avoided.
B. "I'll check my feet every day for sores and bruises.": Daily foot inspections help identify injuries or infections early, crucial for clients with diabetes due to poor healing and neuropathy.
C. "I'll wear sandals in warm weather.": Open-toed shoes can lead to foot injuries or exposure to harmful elements, which should be avoided.
D. "I'll soak my feet in warm, soapy water every night before I go to bed.": Soaking can cause skin maceration and increase the risk of infection, especially in clients with diabetes.
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