A nurse in a clinic is collecting data from an adolescent who has type 1 diabetes mellitus.Which of the following findings is the priority for the nurse to report?
Client's current blood glucose is 220 mg/dL
Client is exhibiting Kussmaul respirations
Client reports vomiting once that day
Client reports frequent urination
The Correct Answer is B
Choice A reason:
A blood glucose level of 220 mg/dL is elevated and should be addressed, but it may not be an immediate priority compared to the presence of Kussmaul respirations.
Choice B reason.
Correct. Kussmaul respirations are a sign of diabetic ketoacidosis (DKA), a severe complication of diabetes. This requires immediate attention and intervention.
Choice C reason:
Vomiting is a concerning symptom, but it may not be as immediately life-threatening as Kussmaul respirations.
Choice D reason:
Frequent urination is a common symptom of diabetes, but it may not require immediate intervention unless it is accompanied by other severe symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Children with cystic fibrosis often have increased calorie needs due to the extra energy required to breathe and the malabsorption of nutrients. A diet that is high in both protein and calories
helps meet these increased energy needs.
Choice B reason:
While a higher fat intake may be beneficial for some children with cystic fibrosis, it should not be at the expense of protein intake, which is also crucial for growth and development.
Choice C reason:
A diet that is low in both protein and calories would not be appropriate for a child with cystic fibrosis, as it may not provide sufficient energy and nutrients to support growth and
development.
Choice D reason:
A diet that is low in carbohydrates and high in fat is not typically recommended for children with cystic fibrosis. They need a balanced diet that includes a variety of macronutrients to meet their
increased energy needs.
Correct Answer is D
Explanation
Choice A reason:
While parental divorce can be a stressful event for adolescents, it alone does not pose the highest risk of suicide completion.
Choice B reason:
Parental substance use disorder can contribute to a challenging family environment, but it is not the highest risk factor for suicide completion in adolescents.
Choice C reason:
Loss of family income can create stress and instability, but it is not the highest risk factor for suicide completion.
Choice D reason:
Bipolar disorder, especially when combined with depressive symptoms, significantly increases the risk of suicide in adolescents. It is important to monitor adolescents with bipolar disorder closely and provide appropriate mental health support and intervention. While other factors mentioned can contribute to a child's overall well-being, they do not carry the same level of direct risk for suicide completion as bipolar disorder with depressive symptoms.
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