If someone with type 1 diabetes has nausea and vomiting, weakness ...

[ssal]

If someone with type 1 diabetes has nausea and vomiting, weakness and fatigue, as well as excessive hunger and thirst, but does not have a fruity or acetone odor on their breath, they may have
 
  a. hepatic encephalopathy.
  b. diabetic ketoacidosis (DKA).
  c. hyperglycemic hyperosmolar nonketotic syndrome (HHNS).
  d. hypoglycemia.

Question 2

The nurse is teaching a class on a high-fiber diet. During the discussion, it is mentioned that some clients will need some form of fiber supplement to ensure adequate intake. Which of the following is a reason for that?
 
  A) Fiber is bitter and difficult to eat.
  B) Most fruits, vegetables, and whole wheat breads provide only 1 to 3 g of fiber per serving.
  C) High-fiber diets are expensive.
  D) The best sources for high-fiber are only available seasonally.

[bpool94]

Answer to Question 1

C
Nausea and vomiting, weakness, fatigue, polyphagia, and polydipsia can all be symptoms of both HHNS and DKA. However, with DKA the breath smells fruity because of ketones. If this is ab-sent, the patient has HHNS. Hypoglycemia would be characterized by hunger, confusion, trem-bling, and erratic behavior. Hepatic encephalopathy is not associated with diabetes.

Answer to Question 2

B
Feedback:
Most fruits, vegetables, and whole wheat breads provide only 1 to 3 g of fiber per serving, without a high-fiber cereal or daily intake of dried peas and beans. Many people may require a fiber supplement to meet the Dietary Reference Intake.

[ssal]

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[bpool94]

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