The nurse is admitting a patient with type 1 diabetes. While reviewing the patient's laboratory results, the nurse notes the presence of ketones in the urine. What intervention will the nurse implement for this patient?

Advise the patient to consume protein and carbohydrates immediately.

Notify the provider of the result and recommend that the patient's insulin dose be increased.

Instruct the patient to withhold the next scheduled dose of insulin.

Suggest that the patient asks their provider to start them on metformin therapy.

Answer and Explanation

The Correct Answer is B

Choice A reason: Advising the patient to consume protein and carbohydrates immediately is not appropriate in this context. The presence of ketones in the urine indicates that the body is using fat for energy due to a lack of insulin. Increasing carbohydrate intake without addressing the underlying insulin deficiency can worsen hyperglycemia and ketoacidosis.

Choice B reason: Notifying the provider of the result and recommending that the patient's insulin dose be increased is the appropriate intervention. The presence of ketones in the urine indicates inadequate insulin levels, and adjusting the insulin dose can help correct the metabolic imbalance and prevent further complications such as diabetic ketoacidosis.

Choice C reason: Instructing the patient to withhold the next scheduled dose of insulin is incorrect. Insulin is essential for managing blood glucose levels and preventing ketosis in patients with type 1 diabetes. Withholding insulin can lead to severe hyperglycemia and ketoacidosis.

Choice D reason: Suggesting that the patient ask their provider to start them on metformin therapy is not appropriate for type 1 diabetes. Metformin is used primarily for type 2 diabetes and is not effective in type 1 diabetes, where insulin is required for glucose management.

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Correct Answer is B

Explanation

Choice A reason: Lethargy and hypoxia are not typically associated with respiratory alkalosis. Respiratory alkalosis occurs when there is excessive exhalation of carbon dioxide, leading to a decrease in blood CO2 levels and an increase in pH. Lethargy and hypoxia are more often related to respiratory acidosis, where CO2 accumulates due to hypoventilation.

Choice B reason: Light-headedness and muscle spasms are common clinical manifestations of respiratory alkalosis. The decrease in carbon dioxide (CO2) levels leads to cerebral vasoconstriction, resulting in light-headedness or dizziness. Additionally, respiratory alkalosis can cause a shift of calcium in the blood, leading to muscle spasms, tingling, and even tetany.

Choice C reason: Hypotension and respiratory depression are not typical findings in respiratory alkalosis. Hypotension can be a symptom of various conditions but is not directly associated with respiratory alkalosis. Respiratory depression is related to hypoventilation and respiratory acidosis, not hyperventilation.

Choice D reason: Muscle twitching and hyperkalaemia are not manifestations of respiratory alkalosis. Hyperkalaemia is more commonly seen in metabolic acidosis and not in respiratory alkalosis. Muscle twitching can occur in various conditions, but respiratory alkalosis typically causes muscle spasms and tetany due to calcium shifts.

A. Take your immunosuppressive medications only when you notice symptoms of rejection. B. It's important to avoid exercise for the first year after the transplant. C. You should follow the prescribed medication regimen exactly as directed, even if you feel well. D. You should take herbal supplements to boost your immune system.

Correct Answer is C

Explanation

Choice A reason: Taking immunosuppressive medications only when symptoms of rejection are noticed is incorrect. Immunosuppressive medications must be taken consistently as prescribed to prevent rejection, even when the patient feels well.

Choice B reason: Avoiding exercise for the first year after the transplant is not necessary. Patients are usually encouraged to engage in light to moderate exercise to promote overall health and recovery. The type and level of exercise should be discussed with the healthcare provider.

Choice C reason: Following the prescribed medication regimen exactly as directed is crucial for preventing organ rejection. Consistent use of immunosuppressive medications helps maintain the balance needed to prevent the immune system from attacking the transplanted organ.

Choice D reason: Taking herbal supplements to boost the immune system is incorrect. Patients with organ transplants need to suppress their immune system to prevent rejection. Herbal supplements can interact with immunosuppressive medications and are generally not recommended without consulting a healthcare provider.

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The nurse is admitting a patient with type 1 diabetes. While reviewing the patient's laboratory results, the nurse notes the presence of ketones in the urine. What intervention will the nurse implement for this patient?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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