A nurse is assessing a client who has type 1 diabetes mellitus and has a blood glucose level of 550 mg/dL. Which of the following should the nurse assess the client for if diabetic ketoacidosis (DKA) is suspected?

Dizziness

Nervousness

Mental status changes

Cool, clammy skin

Answer and Explanation

The Correct Answer is C

Choice A reason: Dizziness can be a symptom of DKA due to dehydration; however, it is not as specific as mental status changes.

Choice B reason: Nervousness is not a specific symptom of DKA and can be related to high blood glucose levels rather than DKA itself.

Choice C reason: Mental status changes such as confusion or altered consciousness are significant indicators of DKA and require immediate medical atention.

Choice D reason: Cool, clammy skin is not typically associated with DKA; instead, DKA can present with dry skin and mouth due to dehydration.

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Correct Answer is B

Explanation

Choice A reason: Hyperkalemia refers to high potassium levels, which may not directly cause shortness of breath and swelling.

Choice B reason: Hypervolemia, or fluid overload, is likely the cause of the client's symptoms, including shortness of breath, swelling, crackles in the lungs, and elevated blood pressure.

Choice C reason: Hypovolemia, or fluid deficit, would not typically present with swelling and crackles in the lungs.

Choice D reason: Hyponatremia refers to low sodium levels, which may not directly cause the symptoms described.

A. Hemoglobin 16 g/dL B. BUN 15 mg/dL C. Serum potassium 4.5 mEq/L D. Serum creatinine 6 mg/dL

Correct Answer is D

Explanation

Choice A reason: A hemoglobin level of 16 g/dL is within the normal range and does not indicate acute kidney injury.

Choice B reason: A BUN level of 15 mg/dL is also within the normal range and does not suggest acute kidney injury.

Choice C reason: A serum potassium level of 4.5 mEq/L is within the normal range and is not indicative of acute kidney injury.

Choice D reason: A serum creatinine level of 6 mg/dL is significantly elevated and indicates impaired kidney function, which is a hallmark of acute kidney injury.

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A nurse is assessing a client who has type 1 diabetes mellitus and has a blood glucose level of 550 mg/dL. Which of the following should the nurse assess the client for if diabetic ketoacidosis (DKA) is suspected?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?

Correct Answer is D

Explanation

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