Which of the following is a high-priority nursing diagnosis for both diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome?
a. Activity intolerance
b. Fluid volume deficient
c. Hyperthermia
d. Impaired nutrition, more than body requirements
B
Both diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome result in dehydration and hypovolemia; therefore, fluid volume deficit is a priority nursing diagnosis. Even though activity intolerance is a potential nursing diagnosis related to the fatigue associated with metabolic changes in hyperglycemic conditions, it is not a first priority. Hyperthermia is associated with thyroid crisis. Although overweight and obesity are risk factors for type 2 diabetes, during metabolic crisis, the patient has inadequate energy available to tissues because of limited availability and poor utilization of insulin.
You might also like to view...
An older female adult had hip replacement surgery 1 day ago, and the nurse thinks that the woman also has dementia. Which patient assessment does the nurse use to determine that this woman is experiencing pain?
a. Holds abdomen tightly b. Has stable vital signs c. Is not verbalizing d. Moves during sleep
The risk for which endocrine problem increases with aging?
A. Hyperthyroidism B. Diabetes mellitus C. Diabetes insipidus D. Cushing's disease
The nurse is conducting a review of systems during the health history interview for an adolescent patient. Which questions are appropriate during the integumentary portion of the assessment? Select all that apply
1) "Have you had any recent changes in weight?" 2) "Are you prescribed any medication for acne?" 3) "Do you have any piercings?" 4) "Have you ever used a tanning bed?" 5) "Do you listen to loud music?"
The nurse executive has instituted a very effective program that encourages nursing staff involvement in research. Nurses are suggesting research topics, helping to collect data, and have assisted with data analysis
What should be the nurse executive's next goal for these nurses? 1. Getting the nurses to seek funding for research projects. 2. Helping the nurses consider additional study topics. 3. Involving the nurses in efforts to seek resources and time to conduct more research. 4. Encouraging the nurses to find ways to disseminate the findings of completed studies.