You are an RN in a busy Emergency Department. A patient comes in with Type 2 Diabetes Mellitus. Which of the following signs and symptoms would you NOT expect the patient to report experiencing?
Polydipsia
Polyphagia
Polyuria
Anorexia
The Correct Answer is D
A. Polydipsia, or excessive thirst, is a common symptom of diabetes, including Type 2 Diabetes Mellitus. It occurs because high blood glucose levels lead to increased urine output (polyuria), which causes dehydration and prompts excessive thirst.
B. Polyphagia, or excessive hunger, is another common symptom of T2DM. In Type 2 Diabetes, despite having high blood glucose levels, the cells are unable to effectively use glucose due to insulin resistance, leading to persistent hunger.
C. Polyuria, or excessive urination, is common in T2DM. High blood glucose levels lead to glucose spilling into the urine, which increases urine volume and frequency.
D. Anorexia, or loss of appetite, is not a typical symptom of Type 2 Diabetes Mellitus. In fact, T2DM usually presents with increased appetite (polyphagia) rather than decreased appetite.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E"]
Explanation
A. When the right ventricle is failing, blood can back up into the jugular veins in the neck, causing them to become swollen and visible.
B. Crackles in the lungs are a sign of fluid buildup in the lungs, which is a common finding in left-sided heart failure, but not typically in right-sided heart failure.
C. Pink, Frothy sputum: Pink, frothy sputum can be a sign of pulmonary edema, which is a buildup of fluid in the lungs. However, this is more commonly associated with left-sided heart failure than right- sided heart failure.
D. Paroxysmal nocturnal dyspnea (PND): PND is a symptom of heart failure that causes shortness of breath that occurs at night, often waking the person from sleep. It can occur in both right-sided and left- sided heart failure.
E. In right sided heart failure, fluid can also build up in the legs and ankles, causing swelling that is tender to the touch
Correct Answer is D
Explanation
A. Blood transfusions are not indicated for DKA unless there's severe anemia, which is not a common presentation.
B. Blood sugar checks every 4 hours and subcutaneous sliding scale Insulin are not appropriate for the severe hyperglycemia and dehydration present in DKA.
C. TPN is not necessary as the patient can tolerate oral intake once stabilized.
D. Continuous IV fluid administration is essential to correct dehydration and electrolyte imbalances, which are common in DKA. Isotonic solutions like normal saline or lactated Ringer's are typically used.
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