A 16-year-old young woman is admitted to the critical care unit with severe hyperglycemia caused by new-onset type 1 diabetes mellitus. The nurse notes a sweet-smelling odor on the patient's exhaled breath. This is a result of
a. compensation for metabolic alkalosis.
b. ketoacidosis.
c. prior ingestion of high-calorie foods.
d. decreased serum osmolality.
B
If ketoacidosis occurs, the patient's breathing becomes deep and rapid (Kussmaul respirations), and the breath may have a fruity odor.
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Why should you ask a patient prescribed a "statin" drug for hyperlipidemia about his or her daily alcohol consumption?
a. Alcohol increases the action of most statin drugs and can lead to side effects. b. Statin drugs increase the action of alcoholic beverages causing a person to feel drunk only after two drinks. c. Taking a statin and consuming more than two alcoholic drinks per day is stressful on the liver. d. Alcohol interferes with the action of statin drugs so the prescriber must order a much higher dose.
The nurse assesses a client before surgery. Which client assessment is most likely to require follow-up nursing interventions?
1. Father died after surgery last year 2. Exposure to chickenpox 8 weeks ago 3. Serum hemoglobin level of 13.5 g/dL 4. Weight 136 pounds, height 5 feet 6 inches
Common features of spirituality are ______.
a. hope, meaning and purpose b. forgiveness c. beliefs and values d. all of these
The student nurse has completed an initial pharmacology course and tells the nursing instructor that it was difficult and she is glad it is over. What is the best response by the nursing instructor?
1. "It may be over, but now you must apply what you have learned to patient care." 2. "Learning is gradual and continuous; we never completely master all areas of pharmacology." 3. "Learning is always painful, but we must continue anyway." 4. "It really isn't over; you should take a graduate course next."