A nurse is caring for a patient diagnosed with diabetic ketoacidosis.
Which of the following symptoms should the nurse expect?

Cheyne-Stokes breathing.

Acetone odor to breath.

Blood glucose level below 40 mg/dL.

Malignant hypertension.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Cheyne-Stokes breathing, characterized by a cycle of increasing and decreasing respiratory rate and depth, is not a typical symptom of diabetic ketoacidosis (DKA). DKA is more commonly associated with Kussmaul breathing, which is rapid, deep, and labored.

Choice B rationale

An acetone odor to the breath is a classic symptom of DKA. This is due to the body breaking down fat for energy, which produces ketones. These ketones can cause the breath to smell fruity or like nail polish remover.

Choice C rationale

A blood glucose level below 40 mg/dL is not a symptom of DKA. In fact, DKA is characterized by high blood glucose levels, typically above 250 mg/dL111213.

Choice D rationale

Malignant hypertension is not a typical symptom of DKA. While DKA can cause dehydration and electrolyte imbalances that may affect blood pressure, it does not typically cause malignant hypertension.

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Correct Answer is D

Explanation

Choice A rationale

Betamethasone, a corticosteroid, is not known to weaken uterine contractions. It is often administered to pregnant women at risk of preterm delivery to enhance fetal lung maturation and reduce complications associated with prematurity.

Choice B rationale

Betamethasone can potentially increase blood glucose levels, not decrease them. This is particularly relevant in women with gestational diabetes, as corticosteroids can exacerbate hyperglycemia.

Choice C rationale

Betamethasone does not typically decrease the fetal heart rate. Instead, it is used to help mature the lungs of the fetus.

Choice D rationale

Betamethasone is administered to pregnant women at risk of preterm delivery to enhance the production of surfactant in the fetal lungs. Surfactant is a substance that prevents the small air sacs in the lungs from collapsing, thereby aiding in the baby’s ability to breathe after birth.

A. Passenger B. Passageway C. Powers D. Position .

Correct Answer is B

Explanation

Choice A rationale

The term “passenger” in the context of the 5 P’s of labor refers to the fetus. The size, presentation, and position of the fetus can all affect the progress of labor. However, the provider’s comment about there being “plenty of room in the pelvis” does not directly relate to the fetus, so this is not the correct answer.

Choice B rationale

The term “passageway” refers to the birth canal, which includes the pelvis. The size and shape of the pelvis can greatly impact the progress of labor. If the provider comments that there is “plenty of room in the pelvis,” they are likely referring to the passageway. Therefore, this is the correct answer.

Choice C rationale

The term “powers” refers to the contractions during labor. The frequency, duration, and intensity of contractions can affect the progress of labor. However, the provider’s comment about there being “plenty of room in the pelvis” does not directly relate to contractions, so this is not the correct answer.

Choice D rationale

The term “position” refers to the mother’s position during labor. Different positions can help facilitate the progress of labor and can help with pain management. However, the provider’s comment about there being “plenty of room in the pelvis” does not directly relate to the mother’s position, so this is not the correct answer.

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A nurse is caring for a patient diagnosed with diabetic ketoacidosis.Which of the following symptoms should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is providing care for a patient who is 28 weeks pregnant and has received betamethasone.The nurse recognizes that the use of betamethasone affects which of the following?

Correct Answer is D

Explanation

A provider is evaluating labor progress and remarks that "there is plenty of room in the pelvis". The nurse should recognize this is part of the provider's assessment of which of the 5 P's?

Correct Answer is B

Explanation

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A nurse is caring for a patient diagnosed with diabetic ketoacidosis.
Which of the following symptoms should the nurse expect?