A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?

Periods of apnea for 20 seconds

Paradoxic respirations of 26/min

Shallow respirations of 10/min

Deep respirations of 32/min

Answer and Explanation

The Correct Answer is D

A. Periods of apnea are not typical for DKA and may indicate other respiratory issues.

B. Paradoxic respirations are abnormal and occur when chest and abdomen move in opposite directions, which is not typically associated with DKA.

C. Shallow respirations are not typical of DKA; they would indicate respiratory depression or other issues.

D. Deep, rapid respirations (Kussmaul respirations) are characteristic of diabetic ketoacidosis (DKA). They occur as the body tries to compensate for acidosis by exhaling more carbon dioxide.

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Correct Answer is A

Explanation

A. The toddler’s behavior—sitting quietly and turning away from the nurse—suggests anxiety due to separation from the mother. This is typical of toddlers who experience distress when separated from caregivers.

B. Developing autonomy is a developmental task of toddlers, but the behavior described (turning away from the nurse and seeking comfort through thumb-sucking) indicates distress rather than an expression of independence.

C. Regression can occur in toddlers when they experience stress, but the behavior here seems more related to anxiety than a return to earlier developmental behaviors.

D. Resentment toward the mother is unlikely in this situation; the behavior is more indicative of separation anxiety.

A. Pulmonary atresia B. Tetralogy of Fallot C. Ventricular septal defect D. Coarctation of the aorta

Correct Answer is D

Explanation

A. Pulmonary atresia involves a blockage of blood flow to the lungs, but it does not specifically lead to differences in blood pressure in the extremities.

B. Tetralogy of Fallot involves four defects, but it does not directly correlate with differences in blood pressure between the extremities.

C. A ventricular septal defect can cause heart failure, but it typically doesn’t affect blood pressure in the extremities.

D. Coarctation of the aorta is a congenital defect where the aorta is narrowed, leading to higher blood pressure in the upper extremities and lower blood pressure in the lower extremities. This is why blood pressures are measured in all four extremities to identify this condition.

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A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is caring for a newly-admitted infant diagnosed with "failure to thrive." The nurse begins to implement the healthcare provider prescribed orders by taking blood pressures in all four extremities. Which congenital cardiac defect does the nurse anticipate based on the prescribed order?

Correct Answer is D

Explanation

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