A client with type 1 diabetes is admitted to the emergency department for DKA. Which assessment findings should the nurse expect to note?

Fruity breath odor and increased respiratory rate.

Hunger and hypertension

Cold, clammy skin and irritability

Sweating and tremors

Answer and Explanation

The Correct Answer is A

A.   DKA is characterized by the production of ketones, which can lead to a fruity or acetone-like odor on the breath. Additionally, the increased respiratory rate (Kussmaul breathing) occurs as the body attempts to compensate for metabolic acidosis by blowing off carbon dioxide.
B.   While clients with diabetes may experience hunger, it is not a primary symptom of DKA. Hypotension (rather than hypertension) is more commonly observed due to dehydration and fluid loss associated with DKA.

C.   Cold, clammy skin suggests the body is in a sympathetic state due to low blood sugar. While irritability can occur in various situations, it is not a hallmark sign of DKA.
D.   Sweating and tremors are symptoms of low blood sugar levels and are not characteristic of DKA. In DKA, patients typically present with dry skin due to dehydration.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Older adults, particularly those with Type 2 diabetes, are at increased risk for HHS due to factors such as decreased renal function, polypharmacy, and potential for dehydration. This patient's age and diabetes type make them susceptible, but we need to compare them with other options.
B. COPD can lead to respiratory problems that may further complicate diabetes management. Additionally, older adults with chronic diseases often experience increased stress on their bodies, which can exacerbate hyperglycemia. The combination of age, diabetes, and a chronic respiratory condition increases the risk.
C. While individuals with Type 1 diabetes can experience HHS, it is less common compared to those with Type 2 diabetes. This is primarily because people with Type 1 diabetes are more prone to ketoacidosis rather than HHS, especially if they are managing their insulin properly. Therefore, this individual is at a lower risk for HHS.
D. This patient has Type 2 diabetes but lacks the additional risk factors (like older age or chronic illness) that would significantly elevate their risk for HHS compared to the other options. While they could develop HHS, they are not at the highest risk.

A. Inhaling airborne germs, such as after someone coughs. B. Eating meat that is undercooked C. Eating contaminated food D. Drinking from the cup of a person with the infection

Correct Answer is D

Explanation

A. Mononucleosis, often caused by the Epstein-Barr virus (EBV), is not primarily spread through airborne droplets like some respiratory infections. While some respiratory secretions may be involved, it is not the main transmission route.
B. Mononucleosis is not transmitted through undercooked meat. This mode of transmission is more relevant for certain foodborne illnesses but not for viral infections like EBV.
C. Mononucleosis is not transmitted through contaminated food. This route is typical for various foodborne pathogens but does not apply to EBV.
D. Mononucleosis is often referred to as the "kissing disease" because it can be transmitted through saliva. Sharing drinks, utensils, or engaging in close personal contact with someone who has the infection can spread the virus.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client with type 1 diabetes is admitted to the emergency department for DKA. Which assessment findings should the nurse expect to note?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following clients is at greatest risk for hyperglycemic hyperosmolar syndrome (HHS)?

Correct Answer is B

Explanation

The nurse is caring for a 15-year-old patient who has been diagnosed with mononucleosis. The patient asks how the infection was obtained. Which information should the nurse include when responding to the patient?

Correct Answer is D

Explanation

The nurse makes a home care visit to a client with a diagnosis of right sided stroke. The client's spouse reports that she was recently diagnosed with gastroenteritis and is having frequent loose stools. The nurse is most concerned with which observation?

Which nursing intervention is most critical during the administration of acyclovir?

The nurse is conducting an initial interview, which specific data would be a priority risk factor for developing peptic ulcer disease?

Which test results require the most immediate action by the nurse?

Which class of antimicrobials does not cause hepatotoxicity?

A newly diagnosed 8-year-old child with type I diabetes mellitus and his mother are receiving diabetes education prior to discharge. The physician has prescribed Glucagon for emergency use. The mother asks the purpose of this medication. Which of the following statements by the nurse is correct?

A school nurse is examining a third-grade student complaining of a small lump on her head. After parting the hair, it is evident that a tick has embedded into the scalp. Which nursing intervention should the school nurse take?

A client with type 1 diabetes is admitted to the emergency department for DKA. Which assessment findings should the nurse expect to note?