What is glucose reading like with the Dawn Phenomenon?
One triggers insulin resistance and the release of glucose from the liver.
One is caused by the release of certain hormones.
Occurs between 4 a.m. and 9 a.m with hyperglycemia.
One is characterized by hyperglycemia that is not triggered by overnight hypoglycemia.
The Correct Answer is D
Choice A reason: This statement is partially correct but does not fully address the question about glucose readings. The Dawn Phenomenon involves an increase in blood glucose levels in the early morning due to the release of counter-regulatory hormones (like cortisol and growth hormone) that increase insulin resistance and stimulate glucose release from the liver.
Choice B reason: This statement is true but incomplete. The Dawn Phenomenon is indeed caused by the release of certain hormones, but this option does not specify the timing or the glucose readings.
Choice C reason: While the hyperglycemia associated with the Dawn Phenomenon does typically occur between 4 a.m. and 9 a.m., this option does not fully describe the nature of the glucose readings. It is more important to note that the hyperglycemia is not due to overnight hypoglycemia.
Choice D reason: This statement accurately describes the Dawn Phenomenon. It is characterized by morning hyperglycemia that is not caused by overnight hypoglycemia. Instead, it is due to the body's natural release of counter-regulatory hormones, which increase blood glucose levels during the early morning hours.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Gestational diabetes is a form of diabetes that occurs during pregnancy and typically resolves after childbirth. It is not typically associated with Hyperglycemic Hyperosmolar Nonketoic (HHNK) Syndrome, which is a specific complication of type 2 diabetes.
Choice B reason: Type 2 diabetes is characterized by insulin resistance and high blood glucose levels. HHNK is a serious acute complication of type 2 diabetes, occurring when blood glucose levels become extremely high, leading to severe dehydration and hyperosmolarity without significant ketoacidosis. This condition requires immediate medical attention.
Choice C reason: While both type 1 and type 2 diabetes involve issues with blood glucose regulation, HHNK is specifically associated with type 2 diabetes. Type 1 diabetes complications more commonly include Diabetic Ketoacidosis (DKA), rather than HHNK.
Choice D reason: Type 1 diabetes is characterized by the body's inability to produce insulin, leading to high blood glucose levels. However, the primary acute complication of type 1 diabetes is Diabetic Ketoacidosis (DKA), not HHNK. HHNK is distinct to type 2 diabetes, where insulin resistance leads to extremely high blood glucose levels and severe dehydration.
Correct Answer is C
Explanation
Choice A reason: Cirrhosis is a condition that affects the liver, not the kidneys. It is not related to nephropathy, which is kidney disease.
Choice B reason: Cardiac disease, while a common complication of diabetes, is not directly caused by nephropathy. Nephropathy primarily affects the kidneys and can lead to kidney failure, but it is not the leading cause of cardiac disease.
Choice C reason: Nephropathy in individuals with diabetes can lead to end-stage kidney disease (ESRD), also known as end-stage renal disease. This is a serious condition where the kidneys are no longer able to function adequately to maintain life, often requiring dialysis or a kidney transplant.
Choice D reason: Pulmonary disease affects the lungs and is not directly related to nephropathy. While diabetes can have complications that affect the lungs, nephropathy specifically targets the kidneys.
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