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.
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Related Questions
Correct Answer is D
Explanation
A. They give the body essential amino acids: Carbohydrates do not provide amino acids; proteins are the primary source of amino acids.
B. They give the body quick energy: Simple carbohydrates (monosaccharides) provide quick energy as they are rapidly absorbed and metabolized.
C. They give the body nonessential amino acids: Carbohydrates do not contribute to amino acid supply; nonessential amino acids can be synthesized by the body.
D. They give the body sustainable energy: Complex carbohydrates, such as whole grains and fiber, provide long-lasting energy as they take longer to break down into glucose.
Correct Answer is B
Explanation
A. Sterile sheets pull water out of the burn site: Sterile sheets help maintain a clean environment but do not significantly draw fluids from the wound.
B. The loss of skin causes the loss of large amounts of body fluid: Third-degree burns destroy the skin barrier, leading to severe fluid loss due to increased capillary permeability, which results in fluid shifts and hypovolemic shock.
C. He is thirsty: While burn patients may feel thirsty due to dehydration, IV fluids are given to restore lost fluids, not just to satisfy thirst.
D. He has not had anything to drink since the accident: Oral hydration is not sufficient in severe burn cases due to the large fluid loss and the need for rapid replacement through IV fluids.
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