An older patient presents with a serum glucose level of 900 mg/dL, hematocrit of 55%, and no serum ketones. Immediate attention must be given to
a. clotting factors. c. administration of insulin.
b. rehydration. d. sodium replacement.
B
The physical examination may reveal a profound fluid deficit. Signs of severe dehydration include longitudinal wrinkles in the tongue, decreased salivation, and decreased central venous pressure, with increases in heart rate and rapid respirations (Kussmaul air hunger does not occur). In older patients, assessment of clinical signs of dehydration is challenging.
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When faced with the sudden loss of a partner, a client appears to be in an acute state of disorganization and is unable to function in activities of daily living. This client is experiencing:
a. anxiety c. distress b. crisis d. eustress
A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living
One child was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system? a. 3-1-1-1-3 b. 4-1-2-0-4 c. 3-0-3-0-3 d. 4-2-1-0-3
Name the four normal curvatures of the spine
What will be an ideal response?
Dietary fluoride is important to
a. decrease staining of teeth. b. decrease sensitivity of teeth. c. stimulate production of saliva. d. increase the strength of tooth enamel.