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 C

Explanation

A. Carrying a simple carbohydrate snack (not a complex one) is recommended during exercise to prevent hypoglycemia, but this is not the correct statement.
B. Exercising first thing in the morning before eating can cause hypoglycemia due to low glucose levels after fasting.
C. Injecting insulin into the thigh before running can increase absorption rates, leading to hypoglycemia. Rotating injection sites and avoiding muscle groups that will be heavily exercised is recommended.
D. Exercise should be avoided if ketones are present in the urine, as it can indicate inadequate insulin and the risk of diabetic ketoacidosis.

A. Pathologic fractures B. Fluid retention C. Dysphagia D. Impaired skin integrity

Correct Answer is A

Explanation

A. Hyperparathyroidism leads to elevated calcium levels, which can cause bone demineralization, resulting in pathologic fractures due to weakened bones.
B. Fluid retention is more commonly associated with conditions like heart failure or renal issues, not hyperparathyroidism.
C. Dysphagia is not a typical complication of hyperparathyroidism and may be related to other gastrointestinal issues.
D. Impaired skin integrity is not directly linked to hyperparathyroidism, although immobility or other factors could contribute to skin issues.

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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 about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who has hyperparathyroidism. Based on this diagnosis, the nurse should monitor the client for which of the following complications?

Correct Answer is A

Explanation

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A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicates that the client is experiencing DKA?

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