A nurse is caring for a patient diagnosed with diabetic ketoacidosis.
Which of the following symptoms should the nurse expect?

Cheyne-Stokes breathing.

Acetone odor to breath.

Blood glucose level below 40 mg/dL.

Malignant hypertension.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Cheyne-Stokes breathing, characterized by a cycle of increasing and decreasing respiratory rate and depth, is not a typical symptom of diabetic ketoacidosis (DKA). DKA is more commonly associated with Kussmaul breathing, which is rapid, deep, and labored.

Choice B rationale

An acetone odor to the breath is a classic symptom of DKA. This is due to the body breaking down fat for energy, which produces ketones. These ketones can cause the breath to smell fruity or like nail polish remover.

Choice C rationale

A blood glucose level below 40 mg/dL is not a symptom of DKA. In fact, DKA is characterized by high blood glucose levels, typically above 250 mg/dL111213.

Choice D rationale

Malignant hypertension is not a typical symptom of DKA. While DKA can cause dehydration and electrolyte imbalances that may affect blood pressure, it does not typically cause malignant hypertension.

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Correct Answer is B

Explanation

Choice A rationale

Tarry stools are not a typical manifestation of cirrhosis. They are more commonly associated with gastrointestinal bleeding.

Choice B rationale

Spider angiomas are a common manifestation of cirrhosis. They are small, dilated blood vessels with a bright red center point and radiating branches, and they are often found on the face, neck, and chest.

Choice C rationale

Moist skin is not a typical manifestation of cirrhosis. Cirrhosis can cause various skin changes, but they typically include jaundice, pruritus, and palmar erythema.

Choice D rationale

Blood in the urine is not a typical manifestation of cirrhosis. It is more commonly associated with urinary tract infections, kidney stones, or bladder disorders.

A. 100/min. B. 48/min. C. 22/min. D. 110/min.

Correct Answer is B

Explanation

Choice B rationale

The normal respiratory rate for a newborn is between 30 and 60 breaths per minute. Therefore, a respiratory rate of 48 breaths per minute is within the expected reference range for a newborn.

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A nurse is caring for a patient diagnosed with diabetic ketoacidosis.Which of the following symptoms should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client diagnosed with cirrhosis.Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

A nurse is assessing a newborn 1 hour after birth.The nurse recognizes that which of the following respiratory rates is within the expected reference range for a newborn?

Correct Answer is B

Explanation

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A nurse is caring for a patient diagnosed with diabetic ketoacidosis.
Which of the following symptoms should the nurse expect?