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. Give the client 15 to 20 g of carbohydrate: While administering a carbohydrate source is appropriate to treat hypoglycemia, the nurse should first confirm whether the client is experiencing hypoglycemia by checking their blood glucose level.
B. Notify the nurse manager: Reporting the error is important but not the priority. The client's safety takes precedence over reporting.
C. Check the client's blood glucose level: This is the priority action to determine if hypoglycemia has occurred due to the incorrect insulin dose. Immediate identification of hypoglycemia ensures timely treatment.
D. Complete an incident report: Incident reports are essential for documenting errors, but they are a secondary step after ensuring the client's safety.
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.
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