A patient has new onset type I diabetes mellitus and asks why they need to check their blood glucose level so often. The nurse explains frequent monitoring is necessary to keep the blood glucose level stable for which of the following reasons?
High glucose levels cause the body to use proteins for energy, causing lactic acidosis.
Chronic elevated blood glucose levels damage cells and cause long-term chronic organ dysfunction.
Early identification of hypoglycemia is easier to treat resulting in better outcomes.
Carbohydrates are constantly being converted to glucose and utilized for extra energy stores.
The Correct Answer is B
A. High glucose levels cause the body to use proteins for energy, causing lactic acidosis – While hyperglycemia can lead to ketosis, it does not directly cause lactic acidosis.
B. Chronic elevated blood glucose levels damage cells and cause long-term chronic organ dysfunction – Hyperglycemia leads to complications such as neuropathy, nephropathy, and retinopathy, making glucose control essential.
C. Early identification of hypoglycemia is easier to treat resulting in better outcomes – While important, the primary reason for frequent monitoring is to prevent long-term complications.
D. Carbohydrates are constantly being converted to glucose and utilized for extra energy stores – This statement is not specific to diabetes management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A child with a sprained wrist is non-infectious and poses no risk to the immunocompromised leukemia patient.
B. Pneumonia is a contagious respiratory infection that poses a high risk.
C. Rheumatic fever can involve post-streptococcal infection risks.
D. A ruptured appendix increases the risk of infection due to peritonitis.
Correct Answer is A
Explanation
A. Alert and oriented, blood and urine without ketones, no orthostatic blood pressure changes – These findings indicate improved hydration, resolution of hyperosmolarity, and recovery of neurological function, key markers of HHS improvement.
B. Alert and oriented, balanced intake and output, moist mucous membranes – While improved hydration is good, ketone clearance and hemodynamic stability are more important indicators.
C. Respirations easy and unlabored, eats 50-75% of meals, vital signs stable – Respiratory status is not the primary concern in HHS.
D. Equal intake and output, denies pain or shortness of breath – These signs do not specifically indicate resolution of HHS.
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