Microvascular complications are degenerative changes occurring in the small vessels such as:
Retinopathy
Stroke
Atherosclerosis
Coronary disease
The Correct Answer is B
Choice A reason: Retinopathy is a common microvascular complication, particularly in individuals with diabetes. It occurs when high blood sugar levels cause damage to the small blood vessels in the retina, leading to vision problems and, in severe cases, blindness. Diabetic retinopathy is a well-known example of how microvascular complications can affect the eye.
Choice B reason: Stroke, on the other hand, is not typically categorized as a microvascular complication. Strokes occur when the blood supply to part of the brain is interrupted or reduced, preventing brain tissue from getting enough oxygen and nutrients. This can be due to a blockage in larger blood vessels or bleeding. While small vessel disease can contribute to stroke risk, it is primarily associated with larger vascular issues, thus not fitting the classic definition of microvascular complications.
Choice C reason: Atherosclerosis is a condition characterized by the buildup of fats, cholesterol, and other substances in and on the artery walls, which can lead to restricted blood flow. This process can affect both large and small blood vessels, and while it contributes to various cardiovascular diseases, it is not exclusively considered a microvascular complication. Microvascular complications refer more specifically to the tiny blood vessels, like those in the eyes and kidneys.
Choice D reason: Coronary disease, also known as coronary artery disease (CAD), involves the large arteries that supply blood to the heart muscle. It is characterized by the narrowing or blockage of these arteries due to atherosclerosis. While CAD is a significant cardiovascular condition, it does not fall under the category of microvascular complications, which are more commonly associated with the very small blood vessels affected by conditions like diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Breastfed babies typically have unformed (rather than formed) stools that are yellow and seedy, not yellowish-brown. Formula-fed babies tend to have more formed stools that are light brown or tan in color. The stooling frequency is often higher in breastfed babies compared to formula-fed babies.
Choice B reason: This description is incorrect. Formula-fed babies typically have more formed stools that can range from light brown to tan, rather than yellow. Breastfed babies usually have yellow, unformed stools and tend to stool more frequently.
Choice C reason: Breastfed babies have soft, unformed, and yellow stools due to the easy digestibility of breast milk. Formula-fed babies tend to have less frequent stooling patterns and their stools are more formed and light brown in color. This difference is due to the different compositions of breast milk and formula.
Choice D reason: Breastfed babies do not usually have light brown stools; their stools are typically yellow and unformed. Formula-fed babies can have yellow stools in some cases, but more commonly, their stools are light brown or tan and more formed.
Correct Answer is A
Explanation
Choice A reason: Neuropathies occur due to the thickening, sclerosis, obstruction, and ischemia of the small blood vessels that supply the nerves (vasa nervorum). Chronic hyperglycemia leads to damage of these blood vessels, reducing blood flow and oxygen supply to the nerves. This ischemia results in nerve degeneration, delayed nerve conduction, and impaired sensory function, which are characteristic of diabetic neuropathy.
Choice B reason: Infection in the nerves is not a primary cause of diabetic neuropathy. While infections can affect the nerves, the neuropathy associated with diabetes is primarily due to vascular complications and chronic hyperglycemia, not infections.
Choice C reason: Excessive glucose exposure to the brain and spinal cord is not directly related to neuropathy. The neuropathic complications in diabetes are due to the damage of peripheral nerves caused by hyperglycemia and vascular insufficiency, rather than glucose affecting the central nervous system.
Choice D reason: Inability to provide continuous glucose to the brain and spinal cord is not a cause of neuropathy. The brain and spinal cord typically have a continuous supply of glucose. Neuropathy in diabetes results from the damage to the peripheral nerves due to prolonged high blood glucose levels and subsequent vascular complications.
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