A patient has been admitted with diabetic ketoacidosis. The emergency department starts an IV to improve circulatory volume
If there is a sudden change in extracellular fluid osmolality that results in a too rapid blood glucose lowering, the nurse will likely observe which of the following clinical manifestations?
A)
Chills, profuse sweating, weakness
B)
Headaches, dizziness, change in level of consciousness
C)
Increase urine output, thirst, vomiting
D)
Rapid, deep respirations, palpitations, low BP
Ans:
B
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A sudden change in the osmolality of extracellular fluid can also occur when blood glucose levels are lowered too rapidly, and this can cause cerebral edema, more common in children than in adults. Answers A, B, and C all have some component of signs and symptoms of DKA rather than cerebral edema signs and symptoms (answer B).
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The nurse identifies actions that may assist the family of the terminally ill client including: Standard Text: Select all that apply
1. Suggesting placement in a hospice unit instead of home care 2. Allowing family to visit ad lib 3. Reinforcing information that family members may not have absorbed 4. Reorient the client who is hallucinating 5. Ask direct questions about needs
A student nurse is beginning the community-based primary care rotation. The student nurse anticipates that the assignment in community-based health care will most likely be at which organization?
a. An acute care hospital b. A rehabilitation hospital c. A nursing home d. A high school
The nurse on the pediatric unit is assigned to care for four children. One of the children is 18 months old and the rest are 3, 4, and 4-1/2 years old
The youngest is in for observation, the 3-year-old has a cardiac problem, and the two older children are in for tests. After a report the nurse takes the children's vital signs. The nurse would need to take the pulses in which of the following ways? a. radial pulse on all the children b. radial on the two older children and apical on the 18-month-old and the child with a cardiac problem c. apical on all children under 5 d. apical only on the child with a cardiac problem
Which of the following statements describes management more so than it describes leadership?
A. It is "tidy," with steps clearly outlined. B. It is more of an art than a science. C. It focuses on renewal of individuals and the group. D. It seems to generate relative disorder.