Which statement would be correct for a patient with type 2 diabetes who was admitted to the hospital with pneumonia?

the patient must receive insulin therapy to prevent ketoacidosis

the patient has islet cell antibodies that have destroyed the pancreas's ability to produce insulin

the patient may have sufficient endogenous insulin to prevent ketosis but is at risk for hyperosmolar hyperglycemic syndrome

the patient has minimal or absent endogenous insulin secretion and requires daily insulin injections

Answer and Explanation

The Correct Answer is C

Choice A rationale: The patient with type 2 diabetes admitted with pneumonia might not necessarily need insulin therapy to prevent ketoacidosis.

Choice B rationale: Type 2 diabetes doesn't typically involve islet cell antibodies destroying the pancreas's ability to produce insulin.

Choice C rationale: In this scenario, the patient might have enough endogenous insulin to prevent ketosis but could be at risk for hyperosmolar hyperglycemic syndrome due to illness-induced stress.

Choice D rationale: Type 2 diabetes often involves some degree of endogenous insulin secretion, and not all patients require daily insulin injections.

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Correct Answer is A

Explanation

Choice A rationale: Post-surgery, there's a risk of lymphedema in the affected arm, so avoiding procedures like venipuncture or blood pressure measurements in the left arm helps prevent complications.

Choice B rationale: Obtaining a permanent breast prosthesis is a consideration post- recovery but not an immediate priority upon return to the surgical unit.

Choice C rationale: Patient-controlled analgesia instructions are important but don't specifically address immediate care after mastectomy.

Choice D rationale: Insisting that the patient examine the surgical incision might not be appropriate upon return to the unit, and it's typically done by healthcare professionals during dressing changes.

A. Assess the client urine output (UOP) B. Obtain a 12-lead electrocardiogram (ECG) C. Notify the primary healthcare provider (PMHCP) D. Stop the regular insulin infusion

Correct Answer is C

Explanation

Choice A rationale: Assessing the UOP is important, but not as urgent as correcting the potassium imbalance.

Choice B rationale: Obtaining a 12-lead ECG can help monitor the cardiac status, but it does not address the cause of the problem.

Choice C rationale: The PMHCP can order potassium replacement to prevent cardiac arrhythmias and other adverse effects of low potassium levels.

Choice D rationale: Stopping the regular insulin infusion can worsen the DKA and increase the risk of cerebral edema and coma.

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Which statement would be correct for a patient with type 2 diabetes who was admitted to the hospital with pneumonia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing action should be included in the plan of care for a patient returning to the surgical unit after a left modified radical mastectomy with dissection of axillary lymph nodes?

Correct Answer is A

Explanation

The nurse is caring for a client with diabetic ketoacidosis (DKA) receiving intravenous (IV) regular insulin. The most recent potassium was 2.9 mEq/L. The nurse should take which priority action:

Correct Answer is C

Explanation

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