A patient with Type 1 Diabetes Mellitus is admitted to the emergency department with deep, rapid breathing, abdominal pain, and confusion. Which of the following laboratory findings would most likely confirm a diagnosis of diabetic ketoacidosis (DKA)?

Blood glucose level of 140 mg/dL with low insulin levels.

Blood glucose level of 180 mg/dL with normal ketone levels.

Blood glucose level of 250 mg/dL with normal ketone levels.

Blood glucose level of 600 mg/dL with elevated ketone levels in blood and urine.

Answer and Explanation

The Correct Answer is D

A.   A blood glucose level of 140 mg/dL is too low for DKA, which typically involves hyperglycemia above 250 mg/dL.
B.   A blood glucose level of 180 mg/dL and normal ketone levels are inconsistent with DKA, as DKA involves both high glucose and elevated ketones.
C.   A blood glucose level of 250 mg/dL with normal ketone levels would not suggest DKA. Elevated ketones are a critical part of diagnosing DKA.
D.   A blood glucose level of 600 mg/dL with elevated ketone levels in blood and urine confirms DKA, a life-threatening complication of Type 1 diabetes.

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Correct Answer is D

Explanation

A. High-intensity weight-bearing exercises can exacerbate pain in patients with osteoarthritis and is not appropriate for alleviating knee stiffness.
B. Calcium and vitamin D supplementation is important for bone health, but it will not directly address the pain and stiffness associated with osteoarthritis.
C. Avoiding physical activity is not recommended for osteoarthritis; instead, moderate exercise can help improve joint function.
D. Applying heat therapy to the affected joints before engaging in physical activity is an effective method for alleviating stiffness and promoting mobility. Heat helps relax muscles and improve blood flow to the affected area.

A. "Avoid using decongestants for seasonal allergies/colds due to their positive link to developing a peptic ulcer." B. "Avoid consuming undercooked foods. C. "Avoid using hormone replacement therapy as this can increase your risk for a peptic ulcer." D. "Avoid foods that have been fried."

Correct Answer is D

Explanation

A. Decongestants are not directly linked to the development of peptic ulcers and should not be avoided solely for this reason.
B. Undercooked foods may increase the risk for foodborne illness but are not a significant factor in the development of peptic ulcers.
C. Hormone replacement therapy is not a primary risk factor for peptic ulcers, though it may affect other aspects of gastrointestinal health.
D. Fried foods can irritate the stomach lining and exacerbate acid reflux, which could increase the risk of peptic ulcers, so it is advisable to avoid them.

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A patient with Type 1 Diabetes Mellitus is admitted to the emergency department with deep, rapid breathing, abdominal pain, and confusion. Which of the following laboratory findings would most likely confirm a diagnosis of diabetic ketoacidosis (DKA)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 65-year-old patient with a history of osteoarthritis reports increased pain and stiffness in the knees, particularly in the morning and after prolonged inactivity. Which intervention is most appropriate to recommend to this patient to help alleviate these symptoms?

Correct Answer is D

Explanation

A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following statements from the nurse will help the client decrease their risk of developing a peptic ulcer?

Correct Answer is D

Explanation

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