The client with diabetes mellitus has a blood glucose level on admission of 596 mg/dL. The nurse anticipates that this client would be experiencing which of the following types of acid-base imbalance?
1. Metabolic acidosis
2. Metabolic alkalosis
3. Respiratory acidosis
4. Respiratory alkalosis
1
Rationale: Diabetes mellitus can lead to metabolic acidosis. When the body does not have suffi-cient circulating insulin, the blood glucose level rises while the cells of the body use all available glucose and then break down glycogen and fat for fuel. The by-products of fat metabolism are acidotic, leading to the complication called diabetic ketoacidosis.
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A male patient brings home a note from the occupational nurse that states, "You have acute bacterial conjunctivitis." This condition is more commonly called
a. infection. b. tearing. c. pink eye. d. color blindness.
A nursing student asks the nurse why the provider has ordered a combination product containing an opioid analgesic and an NSAID for a patient who has cancer. Which response by the nurse is correct?
a. "There are decreased effects of NSAIDs on the GI tract when a combination prod-uct is used." b. "There are fewer adverse effects from both drugs when used in a combination product." c. "There is a decreased likelihood of opioid dependence when it is given in combina-tion with an NSAID." d. "There is increased pain relief with the combination than when either product is used alone."
What is true of calcitonin?
A. acts in opposition to vit D B. can be used to treat hypercalcemia in the blood C. acts in oppsotion to PTH D. increased bone density
The client tells the nurse that she has a bad cold, is coughing, and feels like she has "stuff" in her lungs. What should the nurse do?
a. Administer dextromethorphan. b. Administer guaifenesin. c. Encourage the client to drink fluids hourly. d. Administer fluticasone (Flonase).