A patient with type 2 diabetes is more likely than a client with type 1 diabetes to develop which of the following complications?
Hyperglycemic hyperosmolar-nonketotic syndrome
Hypoglycemia
Diabetic ketoacidosis
Somogyi effect
The Correct Answer is A
A. Hyperglycemic hyperosmolar-nonketotic syndrome (HHNS) is more commonly associated with type 2 diabetes. It is characterized by very high blood sugar levels and dehydration, but without significant ketone production. It typically occurs in older adults with type 2 diabetes who experience severe dehydration and illness.
B. Hypoglycemia is more commonly associated with type 1 diabetes due to the frequent need for insulin therapy, which can cause low blood sugar levels. In type 2 diabetes, hypoglycemia is less common unless the patient is on insulin or certain oral medications.
C. Diabetic ketoacidosis (DKA) is primarily a complication of type 1 diabetes. It occurs when there is a severe insulin deficiency, leading to the breakdown of fat for energy and the production of ketones. While DKA can occur in type 2 diabetes, it is far more common in type 1.
D. The Somogyi effect refers to rebound hyperglycemia following an episode of hypoglycemia, typically occurring overnight. It is more commonly seen in type 1 diabetes, especially when insulin doses are too high, causing low blood sugar at night followed by a rebound increase in blood sugar.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. One test is not definitive is the correct answer. The diagnosis of rheumatoid arthritis (RA) is based on a combination of clinical symptoms, physical examination, laboratory tests, and imaging. There is no single test that can definitively diagnose RA, as many of the tests (e.g., RF, ANA, ESR) can be positive in other conditions as well.
B. A positive antinuclear antibody (ANA) is not specific for rheumatoid arthritis and can be seen in other autoimmune diseases.
C. A positive rheumatoid factor (RF) can be found in some individuals with rheumatoid arthritis, but it is not definitive, as it can also be positive in other diseases or even in healthy individuals.
D. An elevated erythrocyte sedimentation rate (ESR) is a nonspecific marker of inflammation and can be elevated in many conditions, including infections, cancers, and other autoimmune diseases. It is useful for monitoring disease activity but not for diagnosis.
Correct Answer is B
Explanation
A. While inflammation plays a role in restoring functional cells, it is not the ultimate goal. The primary purpose of inflammation is to prepare the site for healing, which includes clearing out damaged cells and pathogens.
B. Inflammation is a vital process that helps prepare the site for healing by facilitating the removal of dead tissue and pathogens, allowing for tissue repair. It also promotes the formation of new tissue.
C. Platelet aggregation and clotting are part of the inflammatory process, but the ultimate goal of inflammation is not to increase platelets but to prepare the site for repair and healing.
D. Inflammatory mediators typically cause vasodilation to increase blood flow to the affected area, not vasoconstriction. This helps deliver nutrients, oxygen, and immune cells to the site of injury.
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