Author Question: The nurse associates which assessment finding in the diabetic patient with decreasing renal ... (Read 98 times)

MGLQZ · **on:** Jul 22, 2018

The nurse associates which assessment finding in the diabetic patient with decreasing renal function?

a. Ketone bodies in the urine during acidosis
b. Glucose in the urine during hyperglycemia
c. Protein in the urine during a random urinalysis
d. White blood cells in the urine during a random urinalysis

Question 2

When a diabetic patient asks about maintaining adequate blood glucose levels, which of the following statements by the nurse relates most directly to the necessity of maintaining blood glucose levels no lower than about 74 mg/dL?

a. Glucose is the only type of fuel used by body cells to produce the energy needed for physiologic activity.
b. The central nervous system cannot store glucose and needs a continuous supply of glucose for fuel.
c. Without a minimum level of glucose circulating in the blood, erythrocytes cannot produce ATP.
d. The presence of glucose in the blood counteracts the formation of lactic acid and prevents acidosis.

AaaA · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: C
Urine should not contain protein. Proteinuria in a diabetic heralds the beginning of renal insufficiency or diabetic nephropathy with subsequent progression to end stage renal disease. Chronic elevated blood glucose levels can cause renal hypertension and excess kidney perfusion with leakage from the renal vasculature. This leaking allows protein to be filtered into the urine.

Answer to Question 2

ANS: B
The brain cannot synthesize or store significant amounts of glucose; thus a continuous supply from the body's circulation is needed to meet the fuel demands of the central nervous system.