What is the priority intervention for the client having Kussmaul respirations as a result of diabetic ketoacidosis?
A. Administration of oxygen by mask or nasal cannula
B. Intravenous administration of 10% glucose
C. Implementation of seizure precautions
D. Administration of intravenous insulin
D
The rapid, deep respiratory efforts of Kussmaul respiration is the body's attempt to reduce the acids produced by using fat rather than glucose for fuel. The client who is in ketoacidosis and who does not also have a respiratory impairment does not need additional oxygen. Only the ad-ministration of insulin will reduce this type of respiration by assisting glucose to move into cells and to be used for fuel instead of fat.
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A nurse is helping at a health fair at a local mall. When taking blood pressures on a variety of people, the nurse keeps in mind that:
a. After menopause, blood pressure readings in women are usually lower than those taken in men. b. The blood pressure of a Black adult is usually higher than that of a White adult of the same age. c. Blood pressure measurements in people who are overweight should be the same as those of people who are at a normal weight. d. A teenager's blood pressure reading will be lower than that of an adult.
When caring for an older adult client who is experiencing memory loss, the nurse notes that the client emotionally overreacts to situations, appearing as if having temper tantrums when responding to real or perceived frustration
. The nurse recognizes the client is experiencing a catastrophic reaction. When caring for this client, the nurse should a. attempt to keep the client awake for extended periods of time. b. demand the client stop demonstrating inappropriate behavior. c. increase the client's environmental stimuli. d. use distraction to move the client away from the offending environmental stimuli.
The term community-based nursing care is applied when implementing which nurs-ing intervention?
a. Assessing the health needs of a defined community b. Providing care to families in a community c. Promoting the health of an entire community d. Investigating environmental health problems in a community
An infant was born at 31-weeks' gestation and weighed 1430 g. What is the correct initial feeding regimen for this infant?
1. 10 mg/kg/day of premature formula 24 kcal/oz. 2. 20 mg/kg/day of premature formula 24 kcal/oz. 3. 40 mg/kg/day of postdischarge formula 22 kcal/oz. 4. 50 mg/kg/day of term formula 20 kcal/oz.