A pediatric client is admitted to the hospital unconscious. The client has a history of type 1 diabetes, and according to the clients mother, has been to two birthday parties in the last few days and has resisted taking the prescribed insulin. At school the client had two more pieces of birthday cake and some ice cream at a class birthday party. What is the likely reason for this client's unconscious state?
Insulin shock
Metabolic ketoacidosis
Insulin reaction
Metabolic alkalosis
The Correct Answer is B
A. Insulin shock is another term for hypoglycemia, which would not cause unconsciousness after refusing insulin.
B. The history of missed insulin and high-carb intake suggests diabetic ketoacidosis (DKA), where lack of insulin leads to the breakdown of fats, creating ketones and resulting in unconsciousness.
C. An insulin reaction is hypoglycemia, which typically causes shakiness, sweating, and confusion, not unconsciousness after high-carb intake.
D. Metabolic alkalosis is unlikely in this case and is not related to missed insulin or high blood sugar.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Urine creatinine is used to assess kidney function and is not helpful in diagnosing CF.
B. The sweat chloride test is the gold standard for diagnosing cystic fibrosis. Elevated chloride levels in sweat are characteristic of CF.
C. Serum calcium levels are not specific to CF diagnosis.
D. Bronchoscopy is used for assessing airway involvement but is not the primary test for diagnosing CF.
Correct Answer is B
Explanation
A. It is important to acknowledge potential postoperative discomfort to set realistic expectations for recovery and reduce anxiety.
B. Allowing the child to hear the ECG monitor sounds helps familiarize them with the equipment and can reduce fear or anxiety.
C. Explaining that an endotracheal tube may be needed is more accurate than giving false reassurance, as it could be required during surgery.
D. Showing unfamiliar equipment to the child can help reduce fear by familiarizing them with what they may encounter.
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