The nurse caring for a client admitted for treatment of diabetic ketoacidosis (DKA) assesses Kussmaul's respirations, which are
a. fast and deep.
b. irregular and gasping.
c. rapid and short.
d. slow and shallow.
A
Respirations increase in rate and depth (Kussmaul's respirations) in clients with DKA, and the breath has a "fruity" or acetone odor.
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What is B-cell proliferation dependent on?
a. Presence of NK (natural killer) cells b. Complement system c. Antigen stimulation d. Lymphokines
What nursing action should be implemented when irrigating a patient's ear?
a. Straighten the ear canal and irrigate with a large-tipped bulb syringe. b. Direct the solution to the middle of the canal to avoid damaging the ear. c. Use a body temperature solution and have the patient hold a basin under the ear while directing the solution toward the top of the canal. d. Repeat the irrigation with hotter water.
The Passy-Muir valve is contraindicated in patients
a. who are trying to relearn normal breathing patterns. b. who experience low secretions. c. with laryngeal or pharyngeal dysfunction. d. who want to speak while on the ventilator.
The nurse is reviewing laboratory results for a client taking dantrolene sodium (Dantrium). The nurse should notify the physician if which of the following is noted on the laboratory report sheet?
1. Creatinine level, 0.6 mg/dL 2. Platelet count, 290,000/mm3 3. Blood urea nitrogen (BUN) level, 9 mg/dL 4. Lactic dehydrogenase (LDH) level, 600 units/L