38, 40 questions and correct detailed
answers [VERIFIED ANSWERS] [GRADE A+]
Polyuria occurs with diabetes mellitus because of the:
a. Formation of ketones
c. Elevation in serum glucose
b. Chronic insulin resistance
d. Increase in antidiuretic hormone - correct answer ANS: C
Glucose accumulates in the blood and appears in the urine as the renal threshold for
glucose is exceeded, producing an osmotic diuresis and the symptoms of polyuria and
thirst. None of the other options appropriately describes the pathologic features of
diabetes mellitus-induced polyuria.
Type 2 diabetes mellitus is best described as a(an):
a. Resistance to insulin by insulin-sensitive tissues
b. Need for lispro instead of regular insulin
c. Increase of glucagon secretion from α cells of the pancreas
d. Presence of insulin autoantibodies that destroy β cells in the pancreas - correct
answer ANS: A
One of the basic pathophysiologic characteristics of type 2 diabetes is the development
of insulin-resistant tissue cells. None of the remaining options appropriately describes
type 2 diabetes
The first laboratory test that indicates type 1 diabetes is causing the development of
diabetic nephropathy is:
a. Dipstick test for urine ketones
, NURS 6320 Final Group 3 Ch 22, 24, 28,
38, 40 questions and correct detailed
answers [VERIFIED ANSWERS] [GRADE A+]
b. Increase in serum creatinine and blood urea nitrogen
c. Protein on urinalysis
d. Cloudy urine on the urinalysis - correct answer ANS: C
Microalbuminuria is the first manifestation of this form of renal failure. Although the
other options may develop, they occur after protein is found in the urine.
What causes the microvascular complications in patients with diabetes mellitus?
a. The capillaries contain plaques of lipids that obstruct blood flow.
b. Pressure in capillaries increase as a result of the elevated glucose attracting water.
c. The capillary basement membranes thicken, and cell hyperplasia develops.
d. Fibrous plaques form from the proliferation of subendothelial smooth muscle of
arteries. - correct answer ANS: C
Microvascular complications are a result of capillary basement membranes thickening
and endothelial cell hyperplasia. None of the remaining options appropriately
describes the cause of microvascular complications in patients with diabetes mellitus.
Retinopathy develops in patients with diabetes mellitus because:
a. Plaques of lipids develop in the retinal vessels.
b. Pressure in the retinal vessels increase as a result of increased osmotic pressure.
c. Ketones cause microaneurysms in the retinal vessels.
d. Retinal ischemia and red blood cell aggregation occur. - correct answer ANS: D