A patient has been admitted to the hospital with the diagnosis of DKA. What vital signs should a nurse anticipate that the patient will exhibit?

Temperature, 98° F; pulse, 84 beats/min; respirations, 18 breaths/min and shallow

Temperature, 99° F; pulse, 62 beats/min; respirations, 16 breaths/min and shallow

Temperature, 97.4° F; pulse, 110 beats/min; respirations, 26 breaths/min and deep

Temperature, 98.6° F; pulse, 76 beats/min; respirations, 16 breaths/min and deep

Answer and Explanation

The Correct Answer is C

A. Normal pulse and respiratory rates do not indicate the expected tachycardia or Kussmaul respirations in DKA.
B. This option shows a slower heart rate, which is not typical of DKA where tachycardia is expected.
C. In diabetic ketoacidosis (DKA), clients typically exhibit tachycardia due to dehydration and deep, rapid Kussmaul respirations as the body attempts to correct the acidosis.
D. The vital signs in this option do not reflect the expected findings of DKA, such as tachycardia and deep respirations.

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Correct Answer is C

Explanation

A. Soaking feet is not recommended for clients with diabetes as it can cause skin maceration and increase the risk of infection.
B. Wearing sandals exposes the feet to injury and is not recommended for clients with diabetes. Closed-toed shoes are better for protecting the feet.
C. Daily foot inspection for sores, cuts, or bruises is essential for clients with diabetes to prevent infections and complications like diabetic ulcers.
D. Lotion should not be applied between the toes because it can promote excess moisture and fungal infections.

A. Diuresis, dehydration, and thirst B. Stress incontinence, vomiting, and edema C. Dizziness, hypertension, and excitability D. Bradycardia, insomnia, and muscle cramps

Correct Answer is A

Explanation

A. The classic symptoms of diabetes insipidus include polyuria (diuresis), which leads to dehydration and increased thirst as the body attempts to compensate for the fluid loss.
B. Stress incontinence, vomiting, and edema are not associated with diabetes insipidus; they are more relevant to other conditions.
C. Dizziness, hypertension, and excitability are not typical symptoms of DI and may indicate other medical conditions.
D. Bradycardia, insomnia, and muscle cramps are also not characteristic of diabetes insipidus and can be related to different health issues.

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A patient has been admitted to the hospital with the diagnosis of DKA. What vital signs should a nurse anticipate that the patient will exhibit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching for a client who has type 1 diabetes mellitus about foot care. Which of the following client statements should indicate to the nurse an understanding of the instructions?

Correct Answer is C

Explanation

What are the classic symptoms of diabetes insipidus (DI)?

Correct Answer is A

Explanation

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