The nurse is reviewing the patient's record. Select to highlight the findings that demonstrate that the patient is improving.
1430: Nurses' Note: Urine output 50 mL/hr dark amber color. Continues to be lethargic.
1430: Vital Signs: Temp 100.4°F (37.8°C) HR 110 bpm: regular RR 24 breaths/min: rapid, deep SpO2 98% on room air BP 94/56 mm Hg
1430: Labs: Glucose 460 mg/dl
HR 110 bpm
regular RR 24 breaths/min
BP 94/56 mm Hg
Glucose 460 mg/dl
The Correct Answer is ["A","B","C","D"]
HR: 110 bpm; regular - The heart rate has decreased from 115 bpm and is now regular, suggesting improved cardiac rhythm stability.
RR: 24 breaths/min; rapid, deep - The respiratory rate has decreased from 26 breaths/min, indicating less rapid breathing.
BP: 94/56 mm Hg - While the blood pressure remains relatively low, there is a slight improvement compared to the previous reading.
Glucose 460 mg/dl - The glucose level has decreased from 525 mg/dL and 530 mg/dL in previous readings. While still elevated, this indicates some improvement in hyperglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Diabetes can lead to damage of blood vessels throughout the body, both large and small. Complications can affect various organs and systems, including the heart, kidneys, eyes, and nerves. Damage to both large vessels (macrovascular complications) and tiny vessels (microvascular complications) contributes to the diverse range of complications associated with diabetes.
B. Both type 1 and type 2 diabetes increase the risk of long-term complications, but the specific risks and patterns of complications may differ between the two types. While individuals with type 1 diabetes may face challenges in achieving tight glycemic control due to the complete absence of endogenous insulin production, tight control can significantly reduce the risk of complications in both type 1 and type 2 diabetes.
C. Lower HbA1c levels indicate better overall glycemic control and are associated with reduced risk of long-term complications. However, achieving tight glycemic control should be balanced with the risk of hypoglycemia and individual patient factors.
D. Hypoglycemia can also lead to increased risk of cardiovascular events and mortality in individuals with diabetes. Therefore, it is important to balance glycemic control to minimize the risk of hypoglycemia while also reducing the risk of hyperglycemia-related complications.
Correct Answer is D
Explanation
D. Obesity and weight loss are more directly linked to type 2 diabetes but they are not primary factors in the management of type 1 diabetes. Type 1 diabetes is characterized by the autoimmune destruction of beta cells, leading to an absolute deficiency of insulin. Weight loss can improve insulin sensitivity, which might be relevant for type 2 diabetes or insulin resistance, but type 1 diabetes patients will always require exogenous insulin regardless of weight changes.
A. Patients with type 1 diabetes are at risk for diabetic ketoacidosis (DKA), a serious condition caused by high blood glucose levels and ketone buildup due to insufficient insulin. Monitoring blood glucose levels is crucial in preventing DKA.
B. Type 1 diabetes is an autoimmune disease where the immune system attacks the insulin- producing beta cells in the pancreas. A viral infection can sometimes trigger this autoimmune response in genetically susceptible individuals.
C. There is a genetic component to type 1 diabetes, and having a family history of the disease can increase the risk, although environmental factors also play a role.
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