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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Higher triglyceride and total cholesterol levels increase the risk of heart disease.
B. Lower levels of LDL (bad cholesterol), triglycerides, and total cholesterol are associated with a lower risk of heart disease.
C. While HDL (good cholesterol) is beneficial, a high level alone doesn't guarantee overall heart health. The focus should be on lowering LDL and total cholesterol.
D. This option has a typo, but even if corrected, it's not ideal. LDL should be lower than 100.

A. A low Hgb A1C means that the patient is hypoglycemic, and should drink grape juice B. A Hgb A1C value of greater than 6.5 indicates the patient is likely Diabetic C. A Hgb A1C result reveals the patient's average blood sugar over the last few months D. A Hgb A1C value of less than 5.7 is normal E. The Hgb A1C value is often used to monitor the effectiveness of treatment for a Diabetic patient

Correct Answer is ["B","C","D","E"]

Explanation

A. A low Hgb A1C means that the patient is hypoglycemic, and should drink grape juice. This is incorrect. A low Hgb A1C indicates good blood sugar control, not hypoglycemia.
B. An A1C of 6.5% or higher is diagnostic of diabetes
C. Hgb A1C result reveals the patient's average blood sugar over the last few months.
D. A Hgb A1C value of less than 5.7 is normal.
E. The Hgb A1C value is often used to monitor the effectiveness of treatment for a Diabetic patient.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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