Exhibits
The nurse is caring for the client in the ED. The nurse understands that the client is at risk of developing which of the following complications? Select all that apply.

Cerebral edema

Septic shock

Cardiac arrhythmias

Renal failure

Hypotension

Respiratory alkalosis

Answer and Explanation

Correct Answer : A,C,D,E

A. This is a serious complication in DKA, particularly in children, where the shift in osmolality during treatment can lead to fluid shifts into the brain. It can present with neurological deterioration, headache, altered mental status, and even coma.
B.   Septic shock
While infection can precipitate DKA, septic shock itself is not a direct complication of DKA. However, DKA can predispose patients to infections due to impaired immune function, dehydration, and hyperglycemia.
C.   Cardiac arrhythmias
Electrolyte imbalances, particularly hypokalemia or hyperkalemia (depending on treatment phase), can predispose individuals with DKA to cardiac arrhythmias such as ventricular arrhythmias (e.g., ventricular tachycardia) or atrial fibrillation.
D.   Renal failure
Acute kidney injury (AKI) can occur due to dehydration, electrolyte imbalances, and the direct effects of acidosis. However, with prompt and appropriate treatment, renal function typically recovers.
E.   Hypotension
Dehydration and volume depletion are common in DKA due to osmotic diuresis and fluid loss. This can lead to hypovolemic shock and hypotension if not adequately managed with fluid resuscitation.
F Respiratory alkalosis
DKA is associated with metabolic acidosis, not respiratory alkalosis. The body compensates for acidosis by increasing respiratory rate (Kussmaul respirations) to blow off CO2 and normalize pH, but this does not lead to respiratory alkalosis.

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Correct Answer is D

Explanation

D. This sequence is important because regular insulin should not be contaminated with NPH insulin, and drawing up regular insulin first helps ensure accurate dosing and prevents mixing of the two insulins prematurely.

A Insulin injections are typically administered subcutaneously, which usually requires a 90-degree angle (perpendicular) for needle insertion, especially if the person has adequate subcutaneous tissue.

B. Prefilled insulin syringes should be stored with the needle pointing upward to prevent insulin leakage or air bubbles from affecting the accuracy of the dose.

C NPH (Neutral Protamine Hagedorn) insulin is a suspension and should not be vigorously shaken. Shaking could cause frothing or denaturation of the insulin, affecting its efficacy and consistency.

A. Give the dosimeter badge to the oncoming nurse at the end of the shift. B. Limit family member visits to 30 min per day. C. Remove soiled linens from the room after each change. D. Apply a second pair of gloves before touching the client's implant if it dislodges.

Correct Answer is B

Explanation

B. Family visits should be limited to 30 minutes per day to minimize their exposure.

A It should be worn consistently by the nurse caring for the client with the radiation implant to monitor their radiation exposure. Giving it to the oncoming nurse at the end of the shift is not appropriate because it does not provide real-time monitoring of radiation exposure for the nurse during their shift.

C. Soiled linens should be kept in the room until the radioactive source is removed to prevent the spread of contamination

D. One should never touch it directly; instead, use long-handled forceps and place it in a lead-lined container for safe disposal.

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ExhibitsThe nurse is caring for the client in the ED. The nurse understands that the client is at risk of developing which of the following complications? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching for a client who has diabetes mellitus about the self-administration of insulin. The client has prescriptions for regular and NPH insulins. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

ExhibitsThe nurse is caring for the client in the ED. The nurse understands that the client is at risk of developing which of the following complications? Select all that apply.

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Exhibits
The nurse is caring for the client in the ED. The nurse understands that the client is at risk of developing which of the following complications? Select all that apply.