You are caring for a patient with Type 1 diabetes who had surgery yesterday. Which of the following findings would MOST LIKLEY indicate that the patient is suffering a severe complication from their disease?
The patient is hyperglycemic with FSBG of 120
The patient feels nauseous after receiving opioid pain medication
The presence of Ketones in their blood and urine
The patient reports some soreness at the operative site
The Correct Answer is C
A. While hyperglycemia is common after surgery, a blood sugar of 120 is not considered severely high.
B. Nausea is a common side effect of opioid pain medication and not specifically related to diabetes complications.
C. This is the most likely indicator of a severe complication, specifically Diabetic Ketoacidosis (DKA). Ketones in the blood and urine are characteristic of DKA, which can be life-threatening.
D. Postoperative soreness is expected.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. These are the most specific and sensitive markers for diagnosing a heart attack. They are released into the bloodstream when heart muscle is damaged.
B. Myoglobin is an early marker of heart muscle damage, but it is less specific than troponin and can be elevated in other conditions.
C. B-type natriuretic peptide is a hormone primarily used to diagnose heart failure, not acute myocardial infarction (heart attack).
D. Creatine kinase-MB is an older marker for heart damage, but it is less specific than troponin and takes longer to rise in the blood.
Correct Answer is A
Explanation
A. Breakthrough pain is defined as a transient exacerbation of underlying persistent pain that occurs on a background of otherwise controlled pain. This is the most accurate description of the patient's experience: a sudden increase in pain despite taking regular opioid medication.
B. Phantom limb pain is pain felt in a limb that is no longer there. This does not apply to the patient's situation.
C. Neuropathic pain is caused by damage to the nerves. While it can be achy, the description of localized pain suggests a different type of pain.
D. Mixed pain is a combination of different types of pain. While possible, breakthrough pain is the most likely and specific diagnosis based on the given information.
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