Which classification of diabetes mellitus is characterized by an autoimmune destruction of pancreatic beta cells, resulting in an absolute insulin deficiency?
Type 1 diabetes mellitus.
Type 2 diabetes mellitus.
Gestational diabetes mellitus.
Secondary diabetes mellitus.
The Correct Answer is A
Type 1 diabetes mellitus is characterized by an autoimmune response that targets and destroys pancreatic beta cells, leading to an absolute deficiency of insulin production.
Incorrect choices:
b. This choice is incorrect. Type 2 diabetes mellitus involves insulin resistance and relative insulin deficiency, but not the autoimmune destruction of beta cells.
c. This choice is incorrect. Gestational diabetes mellitus occurs during pregnancy and is not characterized by autoimmune destruction of beta cells.
d. This choice is incorrect. Secondary diabetes mellitus is caused by other underlying medical conditions or factors and is not primarily characterized by autoimmune destruction of beta cells.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Weight loss despite increased appetite (polyphagia) is a clinical manifestation of diabetes mellitus due to the body's inability to effectively use glucose for energy, leading to breakdown of muscle and fat tissue.
Incorrect choices:
b. This choice is incorrect. Nausea, vomiting, and abdominal pain are not directly related to weight loss despite increased appetite.
c. This choice is incorrect. Impaired wound healing and increased susceptibility to infections are consequences of chronic hyperglycemia, but they are not directly related to weight loss.
d. This choice is incorrect. Rapid weight gain and bloating are not characteristic manifestations of diabetes mellitus; weight loss is more common.
Correct Answer is B
Explanation
Basal-bolus insulin therapy involves administering a continuous basal insulin infusion to provide background insulin coverage and delivering bolus doses of insulin before meals to cover postprandial glucose elevations.
Incorrect choices:
a. This choice is incorrect. Oral antidiabetic medications are not used in basal-bolus insulin therapy.
c. This choice is incorrect. Sliding-scale insulin therapy involves adjusting insulin doses based on current blood glucose levels, rather than providing consistent basal and mealtime coverage.
d. This choice is incorrect. Insulin glargine therapy provides long-acting basal insulin coverage but does not involve bolus doses before meals.
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