Endocrine Case study# 1.Jesus PerezSeptember 27, 2023 Welcome to your Endocrine Case study# 1. 1. Question 1 of 6. Endocrine CS1A 22-year-old woman with a history of poorly controlled type 1 diabetes mellitus presents to the emergency department with abdominal pain, nausea, and vomiting. She had been feeling ill with a cough, sore throat, and decreased appetite, so she skipped several doses of insulin. Based on the presented symptoms and laboratory findings, what is the most likely primary medical problem the patient is experiencing? Please select your answerHyperosmolar hyperglycemic state (HHS)Lactic acidosisSeptic shockWalking PneumoniaDiabetic ketoacidosis (DKA)Acute pancreatitisRenal glucosuriaAlcoholic ketoacidosis 2. Question 2 of 6. Endocrine CS1A 22-year-old woman with a history of poorly controlled type 1 diabetes mellitus presents to the emergency department with abdominal pain, nausea, and vomiting. She had been feeling ill with a cough, sore throat, and decreased appetite, so she skipped several doses of insulin.After being diagnosed, how does the omission of insulin doses contribute to the patient's current condition? Select all that apply It reduces glucose uptake by cells, leading to hyperglycemia. It promotes protein synthesis. It increases glycogen storage in the liver. It prevents glucagon release. It promotes lipolysis, leading to increased free fatty acids and ketone production. It increases glucose utilization in peripheral tissues. It prevents renal glucose excretion. 3. Question 3 of 6. Endocrine CS1A 22-year-old woman with a history of poorly controlled type 1 diabetes mellitus presents to the emergency department with abdominal pain, nausea, and vomiting. She had been feeling ill with a cough, sore throat, and decreased appetite, so she skipped several doses of insulin.At 1400 hrs. she was diagnosed and admitted, at this moment, which of the following complications does the nurse anticipate is the most urgent to address in this patient? Elevation of blood glucose Low arterial ph. Presence of ketones Dehydration Electrolyte imbalance Risk of thrombosis Potential bacterial infection due to elevated glucose levels Renal function Cardiac dysrhythmias 4. Question 4 of 6. Endocrine CS1A 22-year-old woman with a history of poorly controlled type 1 diabetes mellitus presents to the emergency department with abdominal pain, nausea, and vomiting. She had been feeling ill with a cough, sore throat, and decreased appetite, so she skipped several doses of insulin.Once the most pressing problem is identified, what is the most two appropriate initial treatment for this patient? Administer a continuous infusion of regular insulin. Oral rehydration. Immediate bicarbonate infusion. Administration of oral hypoglycemic agents. Broad-spectrum antibiotics. Intravenous fluids with 0.9% sodium chloride. Intramuscular glucagon. Intravenous potassium replacement. 5. Question 5 of 6. Endocrine CS1A 22-year-old woman with a history of poorly controlled type 1 diabetes mellitus presents to the emergency department with abdominal pain, nausea, and vomiting. She had been feeling ill with a cough, sore throat, and decreased appetite, so she skipped several doses of insulin.Once the treatment order is received, which HCP prescriptions would the nurse question? Select all that apply. Start a peripheral IV line with a large-bore catheter. Obtain a urine specimen with a small-bore straight catheter. Administer regular insulin subcutaneously. Maintain the patient in a semi-Fowler position. Initiate continuous electrocardiographic (ECG) monitoring. Encourage intake of oral fluids as tolerated. 6. Question 6 of 6. Endocrine CS1Once treatment has been advanced, new Lab tests revealed a decrease in potassium levels, principally due to the administration of insulin.An IV potassium infusion needs to be started. Which information, related specifically to the potassium infusion, is the most important to give to the intensive care unit (ICU) nurse who will assume the care of the patient? Mental status and cognition have improved with therapy. Urinary output is 60 mL/hr, and urine is a clear yellow color. Last BP is 125/76 mm Hg. There are two existing peripheral IV lines, and both flush easily. The patient has been on a low-sodium diet since admission. The patient's latest blood sugar reading was 110 mg/dL. The patient reported feeling a little dizzy when getting up earlier. Please fill in the comment box below.