What clinical manifestation should the nurse assess for in a patient with uncontrolled diabetes mellitus and ketoacidosis?
Febrile and shallow respirations
Increased rate and depth of respiration
Weakness and weight gain
Extremity tremors followed by seizure activity
The Correct Answer is B
Choice A rationale
Febrile and shallow respirations are not typically associated with uncontrolled diabetes mellitus and ketoacidosis. These symptoms could be indicative of a different medical condition.
Choice B rationale
An increased rate and depth of respiration, also known as Kussmaul breathing, is a common clinical manifestation in patients with uncontrolled diabetes mellitus and ketoacidosis.
Choice C rationale
Weakness and weight gain are not typically associated with uncontrolled diabetes mellitus and ketoacidosis. These symptoms could be indicative of a different medical condition.
Choice D rationale
Extremity tremors followed by seizure activity are not typically associated with uncontrolled diabetes mellitus and ketoacidosis. These symptoms could be indicative of a different medical condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is Choice A. Insulin lispro is a fast-acting insulin that starts to work about 15 minutes after injection. Therefore, the client should eat within 15 minutes of taking the insulin to prevent hypoglycemia. So, if the client takes the insulin at 0630, they should start eating at 06404
Correct Answer is C
Explanation
Choice A rationale
Limiting intake to non-caloric containing liquids until the glucose is within normal limits is not the best advice for a patient with Type 1 diabetes reporting a blood glucose level of 210 mg/dL and symptoms of a sore throat, cough, and fever. While it’s important to stay hydrated, especially when sick, it’s also crucial to maintain a balanced diet to provide the body with necessary nutrients for recovery.
Choice B rationale
Decreasing intake of carbohydrates until blood glucose level is less than 100 mg/dL is not recommended. Carbohydrates are a primary source of energy, and reducing their intake could lead to low blood sugar or hypoglycemia, which can be dangerous.
Choice C rationale
Monitoring blood glucose levels every 4 hours and notifying the doctor if it continues to rise is the best advice. When a patient with diabetes is sick, their blood glucose levels can rise due to the stress the body is under. Regular monitoring allows for timely adjustments in insulin dosage and helps prevent diabetic ketoacidosis, a serious complication.
Choice D rationale
Administering only the morning prescribed dose of insulin is not advisable. Insulin requirements can increase when a person with diabetes is sick. Therefore, sticking to the regular insulin regimen without adjustments could lead to high blood sugar or hyperglycemia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
