A patient newly diagnosed with diabetes mellitus is admitted to the emergency department with nausea and vomiting. ABG results reveal a pH of 7.2 and a bicarbonate level of 20 mEq/L
Which other assessment findings would the nurse anticipate in this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Abdominal pain
2. Visual changes
3. Dysrhythmias
4. Kussmaul respirations
5. Positive Chvostek's sign
1,2,3,4
Rationale 1: Abdominal pain is often experienced by patients with this acid-base imbalance.
Rationale 2: Visual changes may occur as a result of this acid-base imbalance.
Rationale 3: Dysrhythmias such as ventricular tachycardia may occur as a result of this acid-base imbalance.
Rationale 4: Kussmaul respirations occur as the patient tries to compensate for this acid-base imbalance.
Rationale 5: A positive Chvostek's sign is associated with metabolic alkalosis, not metabolic acidosis.
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