Which clinical manifestation of diabetes mellitus is related to long-standing hyperglycemia and may result in slow wound healing and frequent infections?
Polyuria, polydipsia, and polyphagia.
Nausea, vomiting, and abdominal pain.
Blurred vision and vision loss.
Impaired wound healing and increased susceptibility to infections.
The Correct Answer is D
Long-standing hyperglycemia in diabetes mellitus can lead to impaired wound healing, as high blood sugar levels affect blood flow and immune function, increasing the risk of infections.
Incorrect choices:
a. This choice is incorrect. Polyuria, polydipsia, and polyphagia are the "three P's" associated with diabetes-related hyperglycemia.
b. This choice is incorrect. Nausea, vomiting, and abdominal pain are not typically related to long-standing hyperglycemia in diabetes.
c. This choice is incorrect. Blurred vision and vision loss are manifestations of diabetic retinopathy, a microvascular complication, rather than impaired wound healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Metformin is a commonly used oral antidiabetic medication that improves insulin sensitivity in peripheral tissues, reduces hepatic glucose production, and enhances glucose uptake by cells.
Incorrect choices:
b. This choice is incorrect. Glipizide is a sulfonylurea medication that stimulates insulin secretion from the pancreas, rather than increasing insulin sensitivity.
c. This choice is incorrect. Insulin lispro is a rapid-acting insulin analog used for mealtime coverage in insulin therapy.
d. This choice is incorrect. Exenatide is a glucagon-like peptide-1 (GLP-1) receptor agonist that stimulates insulin secretion and suppresses glucagon release, but it does not primarily target insulin sensitivity.
Correct Answer is B
Explanation
Glipizide is a sulfonylurea medication that stimulates insulin secretion from pancreatic beta cells, helping to lower blood glucose levels in individuals with type 2 diabetes mellitus.
Incorrect choices:
a. This choice is incorrect. Metformin is an oral antidiabetic medication that primarily improves insulin sensitivity and reduces hepatic glucose production.
c. This choice is incorrect. Insulin glargine is a long-acting basal insulin used in insulin therapy to provide consistent background insulin coverage.
d. This choice is incorrect. Acarbose is an alpha-glucosidase inhibitor that delays carbohydrate absorption in the intestines and is used to manage postprandial hyperglycemia.
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