Which lab values would you expect to see when a patient with type 1 diabetes presents in ketoacidosis?
Increased serum bicarbonate
Decreased serum potassium
Urine pH 4.0 (expected range 4.5 to 8)
Serum pH of 7.5 (expected range 7.35 to 7.45)
The Correct Answer is C
A. In diabetic ketoacidosis (DKA), serum bicarbonate is typically decreased, not increased. The decrease is due to metabolic acidosis resulting from the accumulation of ketones.
B. Serum potassium is often elevated in DKA initially due to the shift of potassium from inside the cells to the bloodstream as a result of acidosis. However, potassium levels may drop with treatment, especially with insulin administration, which drives potassium back into cells.
C. Urine pH in DKA is often acidic due to the presence of ketones, which are acidic byproducts of fat metabolism. A urine pH of 4.0 indicates aciduria, which is consistent with ketoacidosis.
D. Serum pH in DKA is typically low (below 7.35), indicating acidosis. A serum pH of 7.5 would suggest alkalosis, which is not typical of DKA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Rectal filling is associated with the urge to defecate, not urinate. It is not involved in the micturition process.
B. Mass movements refer to strong, coordinated contractions of the colon, which help move feces toward the rectum. They are related to bowel movements, not micturition.
C. Micturition, or urination, is primarily stimulated by bladder filling. As the bladder fills with urine, stretch receptors in the bladder wall are activated, sending signals to the brain to trigger the urge to urinate.
D. Segmental movement refers to the mixing contractions in the intestines that aid digestion, not the process of micturition.
Correct Answer is A
Explanation
A. In chronic obstructive pulmonary disease (COPD), airflow obstruction leads to ventilation-perfusion (V/Q) mismatching. This means that some parts of the lungs may receive air but not enough blood flow, or vice versa, resulting in inefficient gas exchange and reduced oxygenation. This is a hallmark of COPD.
B. While COPD can eventually affect the heart, particularly leading to right heart failure (cor pulmonale), it does not directly impair cardiac output in the early stages. The primary issue in COPD is with lung function.
C. COPD does not directly impair circulation but can lead to pulmonary hypertension and strain on the circulatory system over time. However, impaired circulation is not the primary issue triggered by COPD.
D. COPD may lead to increased work of breathing, but it does not directly cause excessive cardiac demand in the same way that conditions like anemia or sepsis might.
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