The patient has been admitted to the hospital with the diagnosis of diabetic ketoacidosis. The nurse anticipates that the patient will exhibit vital signs of:
1. T, 99; P, 62; R, 16 and shallow.
2. T, 98.6; P, 76; R, 16 and deep.
3. T, 98; P, 84; R, 18 and shallow.
4. T, 97.4; P, 100; R, 20 and deep.
4
DKA is caused by the attempt of the body to metabolize fat for energy, which results in an acidotic state. The classic signs of DKA are hypothermia, tachycardia, and Kussmaul's res-pirations (rapid and deep) to blow off the acid ions via respirations. The respirations will have a fruity odor.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1007
OBJ: 8 TOP: Diabetic Ketoacidosis
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
You might also like to view...
The unit manager stops you in the hallway to discuss your inability to give safe patient care. The conversation is overheard by other nurses. The manager's comments are based on false information reported to her by a patient
This is an example of: a. Collaboration b. Assault and battery c. Slander d. Libel
In preparing the care plan for a client to reduce negative thinking and promote improved self-esteem, identify all of the appropriate short-term goals. Client will: Standard Text: Select all that apply
1. Wash and comb hair. 2. Eat meals and snacks to meet daily calorie requirements. 3. Sit and walk erectly. 4. Participate in activities that can be completed successfully. 5. Verbalize positive aspects of self.
The nurse is hand picking the sample based on the researcher's knowledge about the population. What type of sample is this called?
A) Purposive B) Snowball C) Network D) Chain
A patient being followed for latent tuberculosis has been on INH therapy for 2 months. While reviewing the laboratory test results, the nurse notes that the liver function test results have become grossly abnormal
The nurse should instruct the patient to a. continue the drug unless jaundice, nausea, or itching develops. b. continue the drug and have liver function tests repeated weekly. c. stop the medication immediately, and other drugs will be prescribed. d. stop the drug and restart it when liver function returns to normal.