A teenager has arrived in the Emergency Department (ED) with confusion. The physician suspects diabetic ketoacidosis (DKA). A stat serum glucose is done, and the result is 765mg/dL
The nurse expects that this teen has which of the following symptoms? 1. Dry skin, shallow rapid breathing, and dehydration
2. Tachycardia, dehydration, and abdominal pain
3. Sweating, photophobia, and tremors
4. Dry mucous membranes, blurred vision, and weakness
4
Rationale:
1. Dry skin and dehydration are signs of hyperglycemia, but shallow breathing is a sign of hypoglycemia.
2. Tachycardia is seen in hypoglycemia.
3. Sweating, photophobia, and tremors are indicative of hypoglycemia.
4. Dry mucous membranes, blurred vision, and weakness are seen with hyperglycemia.
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a. Blood will be drawn before administration and 20 to 30 minutes after the antibi-otic dose. b. A urine sample will be collected before administration and 20 to 30 minutes after the antibiotic dose. c. Blood will be drawn on the morning and the evening of the next scheduled dose. d. A 24-hour urine will be collected after the next scheduled dose.
The nurse would explain to a client that increased levels of troponin I are evident within
a. 1 to 2 hours after MI pain has started. b. 3 to 12 hours after MI pain has started. c. 7 to 9 hours after MI pain has started. d. 12 to 15 hours after MI pain has started.
A survey of staff satisfaction is conducted. The survey indicates that staff members are satisfied, are loyal to the organization, and feel that they have reasonable control in their individual responsibilities. The findings best exemplify:
a. Clarity in roles and valuing of contributions. b. Satisfaction but not empowerment. c. Effective coaching of new staff. d. Role attachment.
Which of the following is included in a full liquid diet?
A. Cottage cheese B. Yogurt C. Poached eggs D. Cooked cereal