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 ["B","E","F","G"]

Explanation

A. Positioning the patient supine can increase the risk of aspiration and should be avoided during feeding. The head of the bed should be elevated instead.
B. Monitoring gastric residual volumes is important to assess the tolerance of the feeding and prevent aspiration.
C. Feedings should be given slowly to avoid complications like gastric distention, not rapidly.
D. Using sterile gloves when handling a feeding tube is not necessary unless there is a risk for infection, but clean gloves are generally adequate.
E. Flushing the tube with water before and after medication administration helps to maintain patency and prevent clogging.
F. The head of the bed should be elevated at least 30 degrees during feeding to reduce the risk of aspiration.
G. Verifying tube placement before starting the feeding ensures that the feeding is going into the stomach and not the lungs.

A. Iron deficiency anemia B. Vitamin B12 deficiency anemia C. Thalassemia minor D. Anemia of chronic disease

Correct Answer is B

Explanation

A. Iron deficiency anemia typically presents with a low MCV, not an elevated MCV, and it is less likely to be associated with the symptoms of glossitis and peripheral neuropathy.
B. Vitamin B12 deficiency anemia is a likely diagnosis in this patient. Chronic alcohol use can lead to malabsorption of vitamin B12, which contributes to macrocytic anemia (high MCV). Symptoms like glossitis and peripheral neuropathy are common in B12 deficiency.
C. Thalassemia minor usually presents with microcytic anemia and would not typically cause the elevated MCV or neurological symptoms seen in this patient.
D. Anemia of chronic disease typically presents with a normal or low MCV and is not associated with elevated MCV or the neurological symptoms seen in this patient.

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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 nurse is caring for a patient receiving enteral nutrition through a nasogastric tube. Which interventions should the nurse implement to ensure safe and effective enteral feeding? (Select All that Apply.)

Correct Answer is ["B","E","F","G"]

Explanation

A 50-year-old male patient with a history of chronic alcoholism presents with fatigue, glossitis, and peripheral neuropathy. Laboratory findings show a hemoglobin level of 9.0 g/dL and mean corpuscular volume (MCV) of 110 fL. What type of anemia is most likely in this patient?

Correct Answer is B

Explanation

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