A patient, who is admitted with diabetes mellitus, has a glucose level of 380 mg/dL and a moderate level of ketones in the urine. As the nurse assesses for signs of ketoacidosis, which respiratory pattern would the nurse expect to find?
Hypoventilation
Cheyne Stokes respirations
Kussmaul respirations
Central apnea
The Correct Answer is C
A. Hypoventilation refers to shallow or slow breathing, which is not typically seen in diabetic ketoacidosis (DKA).
B. Cheyne-Stokes respirations involve a pattern of alternating deep and shallow breaths, often seen in patients with neurological conditions or severe heart failure, not in DKA.
C. Kussmaul respirations are deep, rapid breaths and are a classic sign of diabetic ketoacidosis (DKA). This respiratory pattern is the body’s attempt to compensate for metabolic acidosis, as seen in DKA, by blowing off CO2 to reduce acidity in the blood.
D. Central apnea refers to a cessation of breathing due to a failure of the brain to send signals to the respiratory muscles and is not associated with DKA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While individuals with bulimia nervosa may experience fluctuations in their weight, they are not typically significantly underweight like those with anorexia nervosa. They often maintain a weight within or slightly below the normal range.
B. Dental decay is a common finding in people with bulimia nervosa due to self-induced vomiting, which exposes the teeth to stomach acid. This acid can erode enamel, leading to cavities, tooth decay, and other dental issues.
C. Hyperkalemia is not typically associated with bulimia nervosa. Hypokalemia (low potassium) is more common in bulimia, especially due to vomiting and laxative use, which can lead to significant potassium depletion.
D. Amenorrhea is more common in anorexia nervosa, where extreme malnutrition often leads to the cessation of menstruation. In bulimia nervosa, menstrual irregularities may occur, but complete amenorrhea is not as typical as in anorexia.
Correct Answer is B
Explanation
A. Gradual weight gain is not a classic symptom of type 2 diabetes. Weight loss or difficulty losing weight is more commonly associated with uncontrolled diabetes.
B. Excessive thirst (polydipsia) is one of the classic clinical manifestations of diabetes, along with polyuria (frequent urination), polyphagia (increased hunger), and unexplained weight loss. It occurs as the body tries to rid itself of excess glucose through urine.
C. Recurrent blurred vision is another common symptom of diabetes, caused by changes in blood sugar levels affecting the eyes. However, it is not typically described as one of the classic clinical manifestations.
D. Overwhelming fatigue can also be a symptom of uncontrolled diabetes, as high blood sugar levels can make it difficult for the body to use glucose for energy. However, excessive thirst is a more defining symptom.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
