An adolescent presents in the emergency department (ED) with confusion. The healthcare provider suspects diabetic ketoacidosis (DKA). A stat serum glucose is done, and the result is 7l5 mg/dL. Which clinical manifestations does the nurse anticipate upon assessment for this client?
1. Tachycardia, dehydration, and abdominal pain
2. Sweating, photophobia, and tremors
3. Dry mucous membranes, blurred vision, and weakness
4. Dry skin, shallow rapid breathing, and dehydration
3
Explanation:
1. Tachycardia is seen in hypoglycemia.
2. Sweating, photophobia, and tremors are indicative of hypoglycemia.
3. Dry mucous membranes, blurred vision, and weakness are seen with hyperglycemia.
4. Dry skin and dehydration are signs of hyperglycemia, but shallow breathing is a sign of hypoglycemia.
You might also like to view...
A mother of three children under the age of 4 tells the nurse, "I don't understand why my children are so hard to toilet train before they are 2." How should the nurse respond?
A) "Bladder control during the day usually occurs by ages 2.5 to 3 years." B) "Do you think you are doing something wrong? They should be trained." C) "I don't know. I will have to talk to your doctor, and I will let you know." D) "I had that same problem. You just have to try harder."
The nurse is providing discharge instruction to a child and the family. To promote medication adherence, the nurse facilitates which conditions?
1. Minimal nursing guidance 2. Minimal adverse effects from the medications 3. A complex, expensive medication regimen 4. Low expectations for a successful outcome
The monitoring of program activities, such as hours of service, number of providers used, number of referrals made, and amount of money spent to meet program objectives, is an example of which of the aspects of program evaluation?
1. Relevance 2. Progress 3. Efficiency 4. Effectiveness
Leaving the signal light where the patient cannot reach it is a form of involuntary seclusion.
Answer the following statement true (T) or false (F)