NURSING ANM AND GNM

NURSING EXAM QUESTIONS

MEDICAL SURGICAL NURSING

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is caring for a client with diabetes mellitus who has a glucose level of 21.1 mmol/L and a moderate level of ketones in the urine. As the nurse assesses for signs of ketoacidosis, which of the following respiratory patterns would the nurse expect to find?
A
Central apnea
B
Hypoventilation
C
Kussmaul’s respirations
D
Cheyne-Stokes respirations
Explanation: 

Detailed explanation-1: -DKA will have a pH of 7.30 or less, and HHS in isolation will have a pH greater than 7.30.

Detailed explanation-2: -Anesthesia and surgical stress, abrupt discontinuation of insulin or inadequate treatment in the perioperative period, postoperative infection, prolonged poor oral intake, and severe dehydration can be precipitating causes for postoperative DKA.

Detailed explanation-3: -Diabetic ketoacidosis (DKA) is characterized by uncontrolled hyperglycemia, metabolic acidosis, and increased body ketone concentration.

Detailed explanation-4: -Fluids. Fluids replace those lost through too much urinating. They also thin out the blood sugar. Electrolyte replacement. Electrolytes are minerals in the blood, such as sodium, potassium and chloride, that carry an electric charge. Insulin therapy. Insulin reverses diabetic ketoacidosis. 06-Oct-2022

There is 1 question to complete.