A client with type 1 diabetes is admitted to the emergency department for DKA. Which assessment findings should the nurse expect to note?

Fruity breath odor and increased respiratory rate.

Hunger and hypertension

Cold, clammy skin and irritability

Sweating and tremors

Answer and Explanation

The Correct Answer is A

A.   DKA is characterized by the production of ketones, which can lead to a fruity or acetone-like odor on the breath. Additionally, the increased respiratory rate (Kussmaul breathing) occurs as the body attempts to compensate for metabolic acidosis by blowing off carbon dioxide.
B.   While clients with diabetes may experience hunger, it is not a primary symptom of DKA. Hypotension (rather than hypertension) is more commonly observed due to dehydration and fluid loss associated with DKA.

C.   Cold, clammy skin suggests the body is in a sympathetic state due to low blood sugar. While irritability can occur in various situations, it is not a hallmark sign of DKA.
D.   Sweating and tremors are symptoms of low blood sugar levels and are not characteristic of DKA. In DKA, patients typically present with dry skin due to dehydration.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. While scratching due to lice can lead to irritation and lesions, this finding is not specific to pediculosis capitis. Lesions extending to the hairline or neck could be caused by various conditions, such as eczema or dermatitis, rather than lice infestation.
B. This description is more characteristic of tinea capitis (scalp ringworm) rather than pediculosis capitis. Tinea capitis presents as circular patches with raised edges and may cause itching, but it is not caused by lice.
C. In cases of pediculosis capitis, the white sacs refer to nits (lice eggs), which are commonly found attached to hair shafts, especially around the occipital area (back of the head). Nits are oval and may be mistaken for dandruff but are firmly attached to the hair.
D. While maculopapular lesions can be a result of scratching, they are not a typical finding in pediculosis capitis. Such lesions might indicate another skin condition or an allergic reaction rather than an infestation of lice.

A. Edema B. Maceration C. Redness D. Pruritus

Correct Answer is D

Explanation

A. Edema (swelling due to fluid accumulation) is not a primary manifestation of scabies. While secondary infections can lead to localized swelling, edema is not characteristic of scabies itself.
B. Maceration refers to the softening and breaking down of skin resulting from prolonged exposure to moisture. While it can occur if the skin is scratched and becomes wet, it is not a primary clinical manifestation of scabies.
C. Redness (erythema) can occur due to scratching and irritation, but it is not the defining feature of scabies. While some redness may be present, it is not the primary symptom that indicates scabies infestation.
D. The primary clinical manifestation of scabies is intense pruritus (itching), which is often worse at night. The itching is a result of an allergic reaction to the mites and their waste products, leading to discomfort and a strong urge to scratch.

View Question and Answer

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

A client with type 1 diabetes is admitted to the emergency department for DKA. Which assessment findings should the nurse expect to note?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The school nurse is conducting pediculosis capitis checks. A child with a positive head check would have which finding?

Correct Answer is C

Explanation

What is the primary clinical manifestation in a child with scabies?

Correct Answer is D

Explanation

A patient has an as needed prescription for ondansetron. For which condition would the nurse administer this medication?

An older adult patient asks the nurse what caused his cataract. The nurse's response is based on which information?

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

Which of the following is a priority intervention to provide comfort for the child with pruritus associated with varicella zoster virus?

What findings on assessment would indicate to the nurse that a client has developed osteomyelitis 10 weeks after a right shoulder arthroplasty? (Select All that Apply.)

Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

A nurse is talking with a client who is scheduled for surgery to repair retinal detachment. Which of the following preoperative instructions should the nurse include?

The primary care provider has ordered ibuprofen 10 mg/kg every 8 hours as needed for fever. The child weighs 20 pounds. Available is 100 mg/5 milliliters (mL). How many mLs of ibuprofen should the nurse administer? Round to the nearest tenth.