The emergency department with nausea, vomiting, and abdominal pain. ABG results reveal a pH of 7.2 and a bicarbonate level of 20 mEq/L
A patient newly diagnosed with diabetes mellitus is admitted to What other assessment findings should the nurse anticipate in this patient?
Select all that apply.
1. tachycardia
2. weakness
3. dysrhythmias
4. Kussmaul respirations
5. cold, clammy skin
Correct Answer: 2, 3, 4
These ABG results, coupled with the patient's recent diagnosis of diabetes mellitus and history of vomiting, would lead the nurse to suspect metabolic acidosis. Further assessment findings of this condition are weakness; bradycardia; dysrhythmias; general malaise; decreased level of consciousness; warm, flushed skin; and Kussmaul respirations.
You might also like to view...
The nurse receives a call from a client who wishes to become pregnant, who says, "I thought for sure this time I was pregnant. My period was due yesterday, but the over-the-counter pregnancy test I bought was negative
What should I do?" The nurse suggests: 1. "Wait 24 hours and use another pregnancy test." 2. "Wait until your period is a week overdue and then test again." 3. "I'm sorry, but it indicates you are not pregnant." 4. "Come to the doctor's office and we will do a urine pregnancy test here."
The nurse is teaching patients in a senior center about complementary and alternative therapies. Which statement by a patient indicates understanding of the information the nurse has presented?
1. "I see now that Â?natural' doesn't really mean Â?safe,' and I should ask my health care provider about any supplements I want to take." 2. "I didn't realize some herbal supplements may be just as strong as a prescription drug. I will need to discuss any supplements I want to try with my doctor." 3. "I understand now that when I choose to use a natural product over a prescription medication, I could be delaying my recovery." 4. "It's good to know that herbs contain ingredients that are as powerful as a prescribed medication and are an option for safe and effective therapy." 5. "I'm allergic to many foods. It's good to know that because herbal products are natural, I don't have to worry about an allergic reaction."
Which statements indicate that instruction provided to a client with type 1 diabetes mellitus regarding exercise has been effective?
Standard Text: Select all that apply. 1. "I should start any new exercise regimen slowly." 2. "I should exercise an hour after a meal." 3. "I should have a snack of 10 to 15 grams of carbohydrate before exercising." 4. "I should take 10- to 15-gram carbohydrate snacks with me to the gym if I plan to exercise longer than 30 minutes." 5. "I should withhold my routine insulin dose if I plan to exercise that day."
What process of pharmacokinetics is most important to consider when prescribing a drug that has a narrow therapeutic range?
a. bioavailability b. distribution c. metabolism