A nurse is caring for a client who has diabetic ketoacidosis. Which of the following manifestations should the nurse expect?

Blood glucose level below 40 mg/dL

Malignant hypertension

Cheyne-Stokes breathing

Acetone odor to breath

Answer and Explanation

The Correct Answer is D

A. Blood glucose level below 40 mg/dL: Diabetic ketoacidosis (DKA) is characterized by hyperglycemia, typically with blood glucose levels significantly elevated above normal, often exceeding 250 mg/dL. A glucose level below 40 mg/dL would indicate hypoglycemia, which is not a feature of DKA.

B. Malignant hypertension: Malignant hypertension is a condition characterized by extremely high blood pressure and is not directly associated with DKA. DKA primarily involves issues with glucose and acid-base balance rather than hypertension.

C. Cheyne-Stokes breathing: Cheyne-Stokes breathing is a specific pattern of periodic breathing typically seen in severe neurologic conditions or heart failure, not in DKA. DKA is associated with Kussmaul breathing, which is deep and rapid breathing as the body attempts to compensate for metabolic acidosis.

D. Acetone odor to breath: An acetone (fruity) odor to the breath is a classic sign of DKA due to the presence of ketones in the blood and urine. This occurs because the body is breaking down fatty acids for energy, leading to the production of ketones, which are then excreted through the breath and urine.

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. Notify the provider of a weight gain of 0.5 kg (1 lb) in a week: A weight gain of 0.5 kg (1 lb) in a week can indicate fluid retention and worsening heart failure. Clients should be instructed to report such changes promptly to their healthcare provider to adjust treatment and prevent complications.

B. Exercise at least three times per week: Regular exercise is important for maintaining overall health and improving heart function. However, it is generally recommended to consult a healthcare provider to tailor an exercise regimen suitable for the client's condition.

C. Take diuretics early in the morning and before bedtime: Diuretics should typically be taken in the morning to avoid nocturia (frequent nighttime urination) and disruption of sleep. Taking them before bedtime is not advised due to the increased risk of sleep disturbance.

D. Take naproxen for generalized discomfort.: NSAIDs like naproxen are generally not recommended for clients with heart failure because they can cause sodium and fluid retention, potentially worsening heart failure symptoms.

A. Jugular distention B. Frothy sputum C. Dependent edema D. Nocturnal polyuria

Correct Answer is B

Explanation

A. Jugular distention: Jugular vein distention is more commonly associated with right-sided heart failure, where there is a backlog of blood into the venous system due to poor right heart function. Left-sided heart failure primarily affects the pulmonary system.

B. Frothy sputum: Frothy sputum is indicative of pulmonary edema, a hallmark of left-sided heart failure. When the left side of the heart fails, blood backs up into the lungs, leading to fluid accumulation and frothy or blood-tinged sputum.

C. Dependent edema: Dependent edema (e.g., swelling in the legs) is more characteristic of right-sided heart failure, where there is fluid retention in the systemic circulation. Left-sided heart failure is more associated with pulmonary symptoms.

D. Nocturnal polyuria: Nocturnal polyuria can occur in both types of heart failure as fluid that accumulates during the day is mobilized at night when the person lies down. However, it is not the most distinctive sign of left-sided heart failure compared to pulmonary symptoms.

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 nurse is caring for a client who has diabetic ketoacidosis. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?

Correct Answer is B

Explanation

In which of the following types of pneumonia does consolidation involve the entire lobe of the lung?

A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies?

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

A nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following findings are manifestations of hyponatremia? (Select All that Apply.)

A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic?

A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 48 mg/dL on the glucometer, he should give the client which of the following?