The nurse is caring for a diabetic client who has breath with a fruity odor. Which conclusion by the nurse is the most appropriate?
1. The client has been consuming candy.
2. The client is hyperglycemic.
3. The client is hypoglycemic.
4. The client is experiencing an allergic reaction to medication for diabetes.
2
Rationale 1:The client has been consuming candy is incorrect because the fruity odor is a sign of hyperglycemia.
Rationale 2: Because glucose cannot enter cells, lipids are used as an energy source and ketoacids are produced as waste products. These ketoacids can give the patient's breath an acetone-like, fruity odor.
Rationale 3:The client is hypoglycemic is incorrect because the fruity odor is a sign of hyperglycemia.
Rationale 4:The client is experiencing an allergic reaction to medication for diabetes is incorrect because the fruity odor is a sign of hyperglycemia.
Global Rationale: Because glucose cannot enter cells, lipids are used as an energy source and ketoacids are produced as waste products. These ketoacids can give the patient's breath an acetone-like, fruity odor.
You might also like to view...
A nursing diagnosis that should be considered for individuals who are severely mentally ill and
homeless is a. substance abuse. b. chronic low self-esteem. c. disturbed sleep pattern. d. impaired environmental interpretation syndrome.
The patient has a total white blood cell (WBC) count of 600 cells/microliter. The differential shows a normal neutrophil level of 70% with 5% bands. This patient:
a. is at low risk for infection. b. is at mild risk for infection. c. is at moderated risk for infection. d. is at severe risk for infection.
The family of a critically ill patient has asked to discuss organ donation with the patient's nurse
When preparing to answer the family's questions, the nurse understands which concern(s) most often influence a family's decision to donate? (Select all that apply.) a. Donor disfigurement influences on funeral care b. Fear of inferior medical care provided to donor c. Age and location of all possible organ recipients d. Concern that donated organs will not be used e. Fear that the potential donor may not be deceased f. Concern over financial costs associated with donation
What is a standardized survey and data collection method for measuring patients' perspectives on hospital care?
a. Physician Quality Reporting Initiative b. Home Health Compare c. The Leapfrog Group d. Hospital Consumer Assessment of Healthcare Providers and Systems