A type 1 diabetic was admitted to the emergency room with an elevated temperature and urinary tract infection. The findings were 31 acetone in the urine and blood glucose of 654 mg/dL
The nurse recognizes the client is probably experiencing: A)
hyperinsulinism.
B)
diabetic ketoacidosis.
C)
a Somogyi reaction.
D)
nonketotic hyperosmolar syndrome.
B
Explanation:
A)
Diabetic ketoacidosis is characterized by hyperglycemia and ketosis. Hyperinsulinism involves insulin resistance by the cells. A Somogyi reaction involves a morning rise in blood sugar, precipitated by a nighttime hypoglycemic event. Option D is characterized by hyperglycemia, diuresis, and dehydration, but not ketosis.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
B)
Diabetic ketoacidosis is characterized by hyperglycemia and ketosis. Hyperinsulinism involves insulin resistance by the cells. A Somogyi reaction involves a morning rise in blood sugar, precipitated by a nighttime hypoglycemic event. Option D is characterized by hyperglycemia, diuresis, and dehydration, but not ketosis.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
C)
Diabetic ketoacidosis is characterized by hyperglycemia and ketosis. Hyperinsulinism involves insulin resistance by the cells. A Somogyi reaction involves a morning rise in blood sugar, precipitated by a nighttime hypoglycemic event. Option D is characterized by hyperglycemia, diuresis, and dehydration, but not ketosis.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
D)
Diabetic ketoacidosis is characterized by hyperglycemia and ketosis. Hyperinsulinism involves insulin resistance by the cells. A Somogyi reaction involves a morning rise in blood sugar, precipitated by a nighttime hypoglycemic event. Option D is characterized by hyperglycemia, diuresis, and dehydration, but not ketosis.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
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