You are caring for a patient with a new diagnosis of Diabetes Mellitus Type 1. The patient is upset and states "How could this happen? I eat a vegan diet and get plenty of exercise". What is your BEST response?
This type of Diabetes is likely related to your high LDL levels
This type of Diabetes is probably related to your waist size and ethnicity
This type of Diabetes has to do with the hormone ADH
This type of Diabetes is thought to be an Autoimmune disorder caused by genetic factors and stress
The Correct Answer is D
A. Type 1 Diabetes Mellitus (T1DM) is not directly related to LDL (low-density lipoprotein) levels, which are typically associated with cardiovascular health rather than T1DM.
B. Type 1 Diabetes Mellitus is not associated with waist size or ethnicity. Waist size and ethnicity are more relevant to Type 2 Diabetes Mellitus, which is influenced by lifestyle factors such as diet and exercise.
C. ADH (antidiuretic hormone) primarily regulates water balance in the body and is not directly related to the pathogenesis of Type 1 Diabetes Mellitus.
D. Type 1 Diabetes Mellitus is indeed an autoimmune disorder. It is caused by the immune system mistakenly attacking insulin-producing beta cells in the pancreas. Genetic factors play a significant role in predisposing individuals to T1DM, and while stress may exacerbate symptoms, it is not the primary cause.
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 A
Explanation
A. Patients with DKA are severely dehydrated due to osmotic diuresis caused by hyperglycemia. Rapid fluid resuscitation with normal saline (0.9% sodium chloride) is crucial to correct fluid and electrolyte imbalances.
B. Insulin Glargine is a long-acting insulin not suitable for acute management of DKA. Rapid-acting insulin, such as regular insulin, is used in an IV infusion.
C. Glucose is not added to the IV infusion during the initial phase of DKA treatment. The focus is on correcting fluid and electrolyte imbalances and lowering blood glucose with insulin.
D. 3% sodium chloride is a hypertonic solution used in specific circumstances, not for initial fluid resuscitation in DKA.
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