A patient with Type 1 Diabetes Mellitus is admitted to the emergency department with deep, rapid breathing, abdominal pain, and confusion. Which of the following laboratory findings would most likely confirm a diagnosis of diabetic ketoacidosis (DKA)?

Blood glucose level of 140 mg/dL with low insulin levels.

Blood glucose level of 180 mg/dL with normal ketone levels.

Blood glucose level of 250 mg/dL with normal ketone levels.

Blood glucose level of 600 mg/dL with elevated ketone levels in blood and urine.

Answer and Explanation

The Correct Answer is D

A.   A blood glucose level of 140 mg/dL is too low for DKA, which typically involves hyperglycemia above 250 mg/dL.
B.   A blood glucose level of 180 mg/dL and normal ketone levels are inconsistent with DKA, as DKA involves both high glucose and elevated ketones.
C.   A blood glucose level of 250 mg/dL with normal ketone levels would not suggest DKA. Elevated ketones are a critical part of diagnosing DKA.
D.   A blood glucose level of 600 mg/dL with elevated ketone levels in blood and urine confirms DKA, a life-threatening complication of Type 1 diabetes.

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Correct Answer is D

Explanation

A. Peptic ulcer disease is possible, but the patient's NSAID use and positive H. pylori antibodies suggest a more specific cause related to gastritis.
B. Acute gastritis due to NSAID use is likely since NSAIDs can irritate the stomach lining and increase the risk of ulcers.
C. Functional dyspepsia is less likely given the presence of H. pylori antibodies, which typically indicate an active infection.
D. Chronic gastritis due to Helicobacter pylori infection is the most likely diagnosis, especially with the combination of NSAID use and positive H. pylori antibodies.

A. Increase fiber intake through vegetables and whole grains B. Monitor blood glucose levels regularly C. Consume sugary drinks to maintain energy levels D. Engage in at least 150 minutes of moderate-intensity aerobic exercise per week E. Reduce alcohol consumption F. Limit carbohydrate intake, focusing on complex carbohydrates G. Rely solely on medication without lifestyle changes J. Skip meals to reduce calorie intake

Correct Answer is ["A","B","D","E","F"]

Explanation

A. Increasing fiber intake through vegetables and whole grains is recommended as it helps manage blood sugar levels and promotes overall health.
B. Monitoring blood glucose levels regularly is essential for individuals with diabetes to assess their condition and adjust their treatment plan accordingly.
C. Consuming sugary drinks to maintain energy levels is not appropriate as sugary drinks can cause blood sugar spikes and worsen diabetes control.
D. Engaging in at least 150 minutes of moderate-intensity aerobic exercise per week is beneficial for managing blood sugar levels, improving insulin sensitivity, and overall cardiovascular health.
E. Reducing alcohol consumption is recommended as excessive alcohol intake can interfere with blood sugar control and interact with diabetes medications.
F. Limiting carbohydrate intake, focusing on complex carbohydrates, helps prevent blood sugar spikes and promotes better diabetes management.
G. Relying solely on medication without lifestyle changes is not appropriate. Lifestyle modifications are essential in managing Type 2 diabetes effectively alongside medications.

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A patient with Type 1 Diabetes Mellitus is admitted to the emergency department with deep, rapid breathing, abdominal pain, and confusion. Which of the following laboratory findings would most likely confirm a diagnosis of diabetic ketoacidosis (DKA)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A 58-year-old male with a new diagnosis of Type 2 Diabetes Mellitus is being educated on lifestyle modifications to manage his condition. Which of the following interventions would be appropriate to recommend? (Select All that Apply.)

Correct Answer is ["A","B","D","E","F"]

Explanation

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