A diabetes mellitus (DM) client's blood sugars are very high. The cells can not get glucose, so the body uses fats, as it's energy source, causing high levels of fatty acids. What does the nurse know that this condition will do to the person's normal blood pH? (Select all that apply)
Cause blood pH to go lower than 7.35
Cause blood pH to become acidic
Cause blood pH to go above 7.45
Cause blood pH to become alkaline
Cause blood pH to become base
Correct Answer : A,B
A. Cause blood pH to go lower than 7.35: When the body breaks down fats for energy, it produces ketones, which are acidic. This leads to a drop in blood pH below the normal range (7.35–7.45), a condition known as metabolic acidosis.
B. Cause blood pH to become acidic: The accumulation of ketones results in ketoacidosis, making the blood more acidic.
C. Cause blood pH to go above 7.45: A pH above 7.45 indicates alkalosis, which is not the case in diabetic ketoacidosis (DKA).
D. Cause blood pH to become alkaline: Ketones contribute to acidosis, not alkalosis.
E. Cause blood pH to become base: A base (alkaline) pH is above 7.45, which does not happen in ketoacidosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Building blocks of lipids: Amino acids are the building blocks of proteins, not lipids. Lipids are composed of fatty acids and glycerol.
B. Classified as monosaccharide, disaccharides, and polysaccharides: These classifications refer to carbohydrates, not amino acids.
C. Classified as essential and nonessential: Amino acids are classified as essential (must be obtained from diet) and nonessential (can be synthesized by the body).
D. Building blocks of carbohydrates: The building blocks of carbohydrates are simple sugars (monosaccharides), not amino acids.
Correct Answer is D
Explanation
A. Blistering: Blistering is characteristic of second-degree (partial-thickness) burns, not first-degree burns.
B. Leathery skin: Leathery or tough skin is a sign of a third-degree (full-thickness) burn, which extends through the dermis.
C. Waxy skin: Waxy, white, or charred skin is seen in deep burns, including third- and fourth-degree burns, not first-degree burns.
D. Erythema (redness): First-degree burns (superficial burns) affect only the epidermis and present as erythema, pain, and possible mild swelling without blistering.
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