Which of the following factors is the cause of diabetic ketoacidosis (DKA) in a client with diabetes?
A) The client has not consumed food and continues to take insulin or oral antidiabetic medications.
B) The client has not consumed sufficient calories.
C) The client has been exercising more than usual.
D) The client has eaten and has not taken or received insulin.
D
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A high school–aged girl has been suffering from major depression for several months, and she has begun treatment with an SSRI. In light of the black box warning accompanying SSRIs, the nurse should prioritize which of the following assessments?
A) Assessment for venous thromboembolism (VTE) B) Assessment of cardiac rate and rhythm C) Assessment for hypomanic state D) Assessment for suicidal ideation
A client presents with symptoms of alcohol withdrawal and states, "I haven't eaten in three days." A nurse's assessment reveals BP 170/100 mm Hg, P 110, R 28, and T 97?F (36?C) with dry mucous membranes and poor skin turgor
What should be the priority nursing diagnosis? 1. Knowledge deficit 2. Fluid volume excess 3. Imbalanced nutrition: less than body requirements 4. Ineffective individual coping
As a mental health nurse practitioner, you are treating a client with a somatoform disorder and a comorbidity of depression. You know that this patient will most likely benefit from what?
A) Reassurance that there is no serious medical reason for the symptoms B) Psychotherapy C) An antidepressant D) An antianxiety agent
The nurse finds a patient sitting in bed, rocking back and forth, wringing her hands and repeating rapidly, "I can't breathe. My heart is pounding. I think I'm going to die."
Her physician is called to the bedside and tells the nurse, "She is having an anxiety attack." What assessment can be made by the nurse? a. Severe anxiety is present in this patient. b. Cultural factors control anxiety levels. c. Focusing on discharge instruction will ease the anxiety. d. The level of anxiety cannot be determined at this point.