A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?
Periods of apnea for 20 seconds
Paradoxic respirations of 26/min
Shallow respirations of 10/min
Deep respirations of 32/min
The Correct Answer is D
A. Periods of apnea are not typical for DKA and may indicate other respiratory issues.
B. Paradoxic respirations are abnormal and occur when chest and abdomen move in opposite directions, which is not typically associated with DKA.
C. Shallow respirations are not typical of DKA; they would indicate respiratory depression or other issues.
D. Deep, rapid respirations (Kussmaul respirations) are characteristic of diabetic ketoacidosis (DKA). They occur as the body tries to compensate for acidosis by exhaling more carbon dioxide.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["93"]
Explanation
To calculate the maximum recommended dose of sertraline (Zoloft) for a child who weighs 31 kg, follow these steps:
- Identify the maximum dose per kilogram: 3 mg/kg/day.
- Multiply the child's weight by this maximum dose:
MaximumDose(mg/day) =31kg×3mg/kg/day= 93mg
So, the maximum recommended dose for this child would be 93 mg/day (rounded to the nearest whole number).
Correct Answer is B
Explanation
A. Unintelligible speech is common at 18 months and typically resolves with age. However, a hearing screening may still be appropriate to rule out any issues.
B. By 6 months of age, infants should begin making babbling sounds. The absence of babbling at 8 months suggests a potential hearing impairment and warrants further evaluation.
C. Preferring to play with others is typical behavior for a 4-year-old and does not indicate a hearing impairment.
D. An exaggerated startle response at 3 months is a normal developmental milestone and does not indicate a hearing problem.
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