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 D
Explanation
A. Prednisone does not require fluid restriction.
B. Black, tarry stools are a sign of gastrointestinal bleeding, not a common side effect of prednisone.
C. This is not a strict requirement for prednisone, although it can help prevent stomach upset.
D. Weight gain is a common side effect of prednisone due to increased appetite and fluid retention.
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.
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