A nurse caring for a patient with diabetic ketoacidosis (DKA) would evaluate the patient carefully for which potential complications? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Myocardial infarction
2. Acute respiratory distress syndrome
3. Pulmonary embolism
4. Pneumonia
5. Cerebral edema
1,2,3,5
Rationale 1: Dehydration causes increased viscosity of the blood that can lead to formation of thromboses, causing a myocardial infarction.
Rationale 2: Acute respiratory distress syndrome (ARDS) is caused by rapid intracellular fluid shifts during administration of fluids.
Rationale 3: Dehydration causes increased viscosity of the blood that can lead to formation of thromboses causing a pulmonary embolism.
Rationale 4: The patient with diabetic ketoacidosis is not at an increased risk for pneumonia.
Rationale 5: Cerebral edema is caused by rapid intracellular fluid shifts during administration of fluids.
You might also like to view...
A community health nurse meets with a group of adults at the local senior center. They range in age from 65 to 70 years. The nurse would recommend vision screening at which frequency?
A) Every year B) Every 2 years C) Every 5 years D) Every 10 years
The RN develops an outcome standard of "client will ambulate with an assistive device 60 feet with assistance twice a day" for a patient who had a hip replacement. What part of the nursing process is involved with this outcome statement?
A) Assessment B) Planning C) Implementation D) Evaluation
An older patient is concerned that her neighbor was recently diagnosed with Alzheimer's Disease and asks a nurse what can be done to decrease the risk of Alzheimer's Disease
The nurse includes which of the following in the response to the patient? (Select all that apply.) a. Maintain blood pressure within normal limits b. Smoking cessation c. Maintain control of blood sugar (hemo-globin A1C ?7) d. Eliminate fats from the diet e. Maintain ideal body weight
The nurse assessing a child or adolescent with a diagnosis of dysthymic disorder (DD) will find which of the following symptoms?
a. a depressed or irritable mood for most of the day, on most days, for 2 or more years, and low energy or fatigue b. severe shaking of the hands then trying to hold a glass of water or other object c. a depression that is deeper, more acute, and more likely to lead to suicide than major depressive disorder d. labile mood and hyperactive thyroid with an increase in circulating thyroid hormones and associated symptoms