A client has diabetic ketoacidosis and manifests Kussmaul respirations. What action by the nurse takes priority?
a. Administration of oxygen by mask or nasal cannula
b. Intravenous administration of 10% glu-cose
c. Implementation of seizure precautions
d. Administration of intravenous insulin
D
The rapid, deep respiratory efforts of Kussmaul respiration is the body's attempt to reduce the acids produced by using fat rather than glucose for fuel. The client who is in ketoacidosis and who does not also have a respiratory impairment does not need additional oxygen. Only the ad-ministration of insulin will reduce this type of respiration by assisting glucose to move into cells and to be used for fuel instead of fat. Giving the client glucose would be contraindicated. The client does not require Seizure Precautions.
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A client who sought crisis intervention agrees after the first interview to return to the clinic daily for
two weeks. The nurse offers many suggestions for lifestyle changes the client should make as crisis intervention progresses. After six sessions, which feeling should alert the nurse to the need for supervision? a. Caring b. Desire to be of assistance c. Empathy for the client's recent losses d. Wanting the client to be less clingy
Patient satisfaction surveys include questions about quality of care. What has the greatest impact on patient satisfaction?
a. Responsiveness of staff b. Getting pain medication on time c. Being allowed to go outside to smoke a cigarette d. The race and gender of the nurses