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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The Hgb A1c test provides a snapshot of your average blood sugar levels over the past 2-3 months.
B. The Hgb A1c test does not measure insulin production. It measures the amount of glucose attached to hemoglobin in red blood cells.
C. While the Hgb A1c test is not affected by recent food intake, it doesn't provide a snapshot of your current blood sugar level. It reflects an average over several months.
D. The Hgb A1c test measures blood sugar levels, not directly sugar intake. While diet affects blood sugar, the test does not isolate sugar consumption.
Correct Answer is D
Explanation
A. Jaundice is associated with liver problems.
B. Kehr's sign is associated with irritation of the diaphragm, often due to conditions like splenic rupture.
C. Polycythemia vera is a blood disorder characterized by an overproduction of red blood cells.
D. Autoantibodies are antibodies produced by the immune system that attack the body's own cells. In Type 1 Diabetes, these autoantibodies target the insulin-producing cells. C-peptide is a byproduct of insulin production. Since Type 1 Diabetes involves the destruction of insulin-producing cells, C-peptide levels will be low or absent.
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