A nurse is collecting data from a client who has diabetic ketoacidosis. Which of the following findings should the nurse expect?
Fruity breath odor
Clammy skin
Bounding pulse
Elevated blood pressure
The Correct Answer is A
The correct answer is A. Fruity breath odor. This is caused by the presence of acetone, a byproduct of fat metabolism, in the breath. Diabetic ketoacidosis is a condition where the body cannot use glucose as a fuel source due to insulin deficiency or resistance, and resorts to breaking down fat for energy, resulting in ketone production and acidosis. Clammy skin, bounding pulse and elevated blood pressure are signs of a hyperglycemic hyperosmolar state (HHS), another complication of diabetes that is characterized by severe dehydration and hyperglycemia without significant ketosis or acidosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is B. The nurse should assess the client's risk for suicide by asking directly about suicidal thoughts or plans. This is a priority intervention that can help prevent harm to the client and provide appropriate referrals for further evaluation and treatment.
Correct Answer is B
Explanation
The correct answer is choice b. Write the information at an 8th-grade reading level.
Choice A rationale:
While explaining medical terminology using basic, one-syllable words can help in understanding, it is not always practical or necessary. Medical terms often require more than one syllable to convey accurate information.
Choice B rationale:
Writing the information at an 8th-grade reading level ensures that the brochure is accessible to a broad audience. This readability level is recommended for health education materials to ensure comprehension by the general public.
Choice C rationale:
Presenting information from complex to simple can confuse readers. It is generally more effective to start with simple concepts and gradually introduce more complex information.
Choice D rationale:
Using a 12-point font size is important for readability, but it is not the most critical factor in ensuring the brochure is understandable. The content’s readability level is more crucial.
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