A patient has been admitted to the hospital with the diagnosis of DKA. What vital signs should a nurse anticipate that the patient will exhibit?

Temperature, 98° F; pulse, 84 beats/min; respirations, 18 breaths/min and shallow

Temperature, 99° F; pulse, 62 beats/min; respirations, 16 breaths/min and shallow

Temperature, 97.4° F; pulse, 110 beats/min; respirations, 26 breaths/min and deep

Temperature, 98.6° F; pulse, 76 beats/min; respirations, 16 breaths/min and deep

Answer and Explanation

The Correct Answer is C

A. Normal pulse and respiratory rates do not indicate the expected tachycardia or Kussmaul respirations in DKA.
B. This option shows a slower heart rate, which is not typical of DKA where tachycardia is expected.
C. In diabetic ketoacidosis (DKA), clients typically exhibit tachycardia due to dehydration and deep, rapid Kussmaul respirations as the body attempts to correct the acidosis.
D. The vital signs in this option do not reflect the expected findings of DKA, such as tachycardia and deep respirations.

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Correct Answer is D

Explanation

A. A recent viral infection is a potential trigger for type 1 diabetes, not type 2.
B. A triglyceride level of 100 mg/dL is within normal limits and does not increase the risk for type 2 diabetes.
C. A fasting blood glucose of 98 mg/dL is also within normal limits and does not indicate a risk for diabetes.
D. A sedentary lifestyle is a major risk factor for developing type 2 diabetes due to reduced physical activity, which contributes to insulin resistance and weight gain.

A. Abruptly withdrawing cortisone therapy B. Poorly functioning adrenal glands C. Lacking ACTH, related to the pituitary gland D. Taking corticosteroids for many years

Correct Answer is D

Explanation

A. Abruptly withdrawing corticosteroid therapy can lead to adrenal insufficiency, not Cushing syndrome.
B. Poorly functioning adrenal glands cause Addison’s disease, not Cushing syndrome.
C. Lacking ACTH leads to secondary adrenal insufficiency, not Cushing syndrome.
D. Taking corticosteroids for many years can result in exogenous Cushing syndrome due to prolonged exposure to high cortisol levels, which mimic the effects of endogenous Cushing syndrome.

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A patient has been admitted to the hospital with the diagnosis of DKA. What vital signs should a nurse anticipate that the patient will exhibit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching of a female client who has a family history of type 2 diabetes mellitus. The nurse should include which of the following risk factors for developing type 2 diabetes mellitus in the teaching?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

Which findings are expected when assessing a patient with Cushing syndrome?

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