What are some of the early signs and symptoms you would expect a person with type 1 diabetes to exhibit?
Weakness, vomiting, hypotension, mental confusion
Vomiting, abdominal pain, sweet fruity breath, dehydration, Kussmaul breathing
Polydipsia, polyuria, polyphagia, weight loss, fatigue
Recurrent infections, visual changes, paresthesia
The Correct Answer is C
A. Weakness, vomiting, hypotension, and mental confusion may occur in cases of diabetic ketoacidosis (DKA), but these are more acute signs of severe complications rather than early symptoms of type 1 diabetes.
B. Vomiting, abdominal pain, sweet fruity breath, dehydration, and Kussmaul breathing are signs of diabetic ketoacidosis (DKA), a serious complication that typically develops after the onset of type 1 diabetes, not early symptoms.
C. Polydipsia (excessive thirst), polyuria (frequent urination), polyphagia (excessive hunger), weight loss, and fatigue are classic early signs and symptoms of type 1 diabetes due to the body's inability to regulate blood glucose levels properly.
D. Recurrent infections, visual changes, and paresthesia (numbness or tingling) are typically associated with long-term, poorly controlled diabetes, not early signs of type 1 diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The presence of epithelial cells in urinary casts is indicative of acute tubular necrosis (ATN), a condition where the tubular cells in the kidneys are damaged, often due to ischemia or nephrotoxic substances. These damaged cells shed into the urine, forming casts.
B. Glomerulonephritis is characterized by inflammation of the glomeruli and typically leads to hematuria and proteinuria, but it is not specifically associated with epithelial cells in casts.
C. Urinary tract infections (UTIs) usually cause bacteriuria, pyuria, and sometimes hematuria, but not epithelial cell casts.
D. Pyelonephritis is an infection of the kidneys that can cause white blood cell casts and bacteria in the urine, but it is not typically associated with epithelial cell casts.
Correct Answer is D
Explanation
A. While status asthmaticus is a severe, life-threatening asthma exacerbation, the first step is to stabilize the patient by improving oxygenation and relieving airway obstruction, not immediately calling 911 unless the situation worsens.
B. Intubation is not the first step unless the patient's respiratory status continues to deteriorate despite initial interventions. The focus should be on improving oxygenation and managing the airway.
C. Establishing IV access and administering emergency medications, such as corticosteroids or bronchodilators, may be necessary, but the first priority is to improve the patient's breathing and oxygenation.
D. Placing the patient in a high Fowler's position helps to open the airways and facilitate breathing. Starting oxygen therapy is essential to support oxygenation in a patient with labored breathing. This should be the first intervention.
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