If injection sites are not rotated regularly, the patient with diabetes mellitus may suffer from which of the following?
Lipodystrophy
Petechiae
Hematoma
Pustules
The Correct Answer is A
A. Lipodystrophy: Lipodystrophy refers to a localized loss of fat tissue or a change in the distribution of fat tissue due to repeated injections at the same site. In patients with diabetes mellitus, injecting insulin into the same site repeatedly can lead to lipodystrophy, affecting insulin absorption and glycaemic control.
B. Petechiae: Petechiae are small, red or purple spots that appear on the skin due to bleeding under the skin. They are not typically associated with injection site issues but rather with conditions such as thrombocytopenia or blood clotting disorders.
C. Hematoma: Hematoma is a localized collection of blood outside the blood vessels, often resulting from injury or trauma. It can occur at injection sites if a blood vessel is inadvertently punctured during the injection process.
D. Pustules: Pustules are small, pus-filled lesions on the skin, usually associated with infections such as acne or folliculitis. They are not typically related to injection site issues in patients with diabetes mellitus.
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Related Questions
Correct Answer is C
Explanation
A. A 25-year-old male with arthritic pain: Arthritic pain alone does not significantly increase the risk of Type 2 diabetes unless associated with other risk factors like obesity or inactivity.
B. A 12-year-old male with a normal height to weight ratio: A normal height to weight ratio suggests a healthy weight, reducing the immediate risk for Type 2 diabetes, unless other risk factors are present.
C. A 55-year-old female who is 20 pounds overweight: Being overweight, especially with central adiposity, is a significant risk factor for developing Type 2 diabetes. The risk increases with age, particularly in individuals over 45.
D. An 8-year-old female who is developmentally delayed: Developmental delay is not a direct risk factor for Type 2 diabetes unless associated with obesity or a sedentary lifestyle.
Correct Answer is D
Explanation
A. "Have you noticed any blood in your stool?" While this could be a symptom of a severe reaction, it's not the most immediate concern for an allergic reaction.
B. "Are you having difficulty with your hearing?" Hearing problems are not typical symptoms of an antibiotic allergy.
C. "Do you have a headache?" Headaches can occur with various conditions, including allergic reactions, but it's not the most concerning symptom in this case.
D. "Are you having any difficulty breathing?" Difficulty breathing can be a sign of a severe allergic reaction (anaphylaxis) and requires immediate intervention. This is the most critical symptom to assess for.
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