A nurse is providing care for a client who has diabetes mellitus. Which of the following laboratory findings indicates the client most likely to be diagnosed with diabetic ketoacidosis (DKA)?
Serum sodium 140 mg/dL
Blood urea nitrogen (BUN) 18 mg/dL
Serum bicarbonate less than 15
Arterial blood pH 7.46
The Correct Answer is C
A. Serum sodium 140 mg/dL: This is a normal sodium level and does not provide diagnostic information specific to DKA. Sodium may fluctuate in DKA but is not a defining lab value for the condition.
B. Blood urea nitrogen (BUN) 18 mg/dL: This BUN level is within normal limits. Although BUN can be elevated in DKA due to dehydration, a normal value does not support the diagnosis of DKA on its own.
C. Serum bicarbonate less than 15: A low bicarbonate level indicates metabolic acidosis, which is a key diagnostic feature of DKA. It reflects the buffering of excess ketone acids in the blood, making this a highly specific indicator.
D. Arterial blood pH 7.46: This value is slightly alkalotic and inconsistent with DKA, which is characterized by metabolic acidosis and a pH usually below 7.3. Elevated pH would suggest another acid-base disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E","F"]
Explanation
A. Obesity increases the risk of obstructive sleep apnea: Obesity is a significant risk factor for obstructive sleep apnea (OSA). Excess fat tissue, especially around the neck and throat, can obstruct the airway during sleep, leading to breathing difficulties. Managing obesity can help reduce the severity of OSA and prevent its development.
B. Alcohol does not affect the risk of obstructive sleep apnea: Alcohol actually increases the risk of obstructive sleep apnea. It relaxes the muscles in the throat, which can lead to airway obstruction during sleep. This makes alcohol consumption a modifiable risk factor for OSA, and it should be avoided by individuals at risk.
C. Sedatives do not impact the risk of obstructive sleep apnea: Sedatives, like alcohol, can relax the muscles of the throat and contribute to airway collapse, which can worsen the symptoms of obstructive sleep apnea. Therefore, sedatives do impact the risk of OSA, and they should be avoided, especially in individuals with existing sleep apnea.
D. CPAP compliance enhances quality of sleep: Continuous Positive Airway Pressure (CPAP) therapy is the primary treatment for obstructive sleep apnea. Adherence to CPAP therapy significantly improves sleep quality by keeping the airway open during sleep. CPAP has been shown to reduce daytime fatigue, improve cognitive function, and prevent the complications of untreated OSA.
E. Smoking increases the risk of obstructive sleep apnea: Smoking increases the risk of obstructive sleep apnea by causing inflammation and fluid retention in the upper airway. These changes can make it more likely for the airway to collapse during sleep, exacerbating OSA symptoms. Quitting smoking can help reduce the severity of OSA.
F. Positional therapy enhances client comfort: Positional therapy involves sleeping in positions that prevent the airway from becoming obstructed, such as avoiding sleeping on the back. This approach can improve comfort and reduce symptoms in individuals with mild obstructive sleep apnea. While it may not be effective for all patients, it can be an important part of managing OSA,
Correct Answer is A
Explanation
A. Marfan's syndrome: Marfan's syndrome is a genetic connective tissue disorder that affects the integrity and strength of blood vessels. Individuals with this condition are at increased risk for the development of cerebral aneurysms, which may rupture and lead to subarachnoid hemorrhage, making it an important vascular risk factor.
B. Alzheimer’s disease: Alzheimer’s disease involves progressive neurodegeneration and cognitive decline, but it does not directly increase the risk of bleeding in the subarachnoid space. Its pathology does not involve vascular abnormalities related to aneurysm formation.
C. Parkinson’s disease: Parkinson’s disease affects the motor control centers of the brain due to dopamine depletion, but it does not involve changes in cerebral blood vessels. Therefore, it is not linked to an increased risk of subarachnoid hemorrhage.
D. Male sex: Subarachnoid hemorrhage is slightly more common in females, particularly due to hormonal and vascular differences. Male sex is not a recognized independent risk factor for aneurysmal rupture or spontaneous SAH.
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