The nurse is caring for diabetic clients. Which of the following clients with type 1 diabetes is most likely to experience adequate glucose control?

A client who skips breakfast when the glucose reading is greater than 220 mg/dL (12.3 mmol/L)

A client who never deviates from the prescribed dose of insulin

A client who adheres closely to a meal plan and meal schedule

A client who eliminates carbohydrates from the daily intake

Answer and Explanation

The Correct Answer is C

A. Skipping meals can lead to fluctuations in blood glucose and increase the risk of hypoglycemia, especially when insulin is still active.
B. Insulin dosing may need to be adjusted based on blood glucose levels, carbohydrate intake, and physical activity. Fixed dosing without adjustment can lead to poor control.
C. Adhering to a consistent meal plan and schedule helps maintain steady blood glucose levels and aligns insulin action with food intake, promoting better glucose control.
D. Eliminating carbohydrates is not recommended. Carbohydrates are essential for energy, and the focus should be on consistent, healthy carb intake rather than complete elimination.

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Correct Answer is A

Explanation

A. Respiratory acidosis is indicated by a low pH (< 7.35) and elevated PaCO₂ (> 45 mm Hg), which fits this ABG profile: pH 7.21 (acidic), PaCO₂ 64 mm Hg (elevated), HCO₃ normal — confirming an uncompensated respiratory acidosis.
B. Metabolic alkalosis would present with a high pH and elevated HCO₃, which is not the case here.
C. Respiratory alkalosis involves high pH and low PaCO₂, the opposite of this patient's values.
D. Metabolic acidosis presents with low pH and low HCO₃, but the bicarbonate here is normal (24 mm Hg), ruling this out.

A. Cardiac dysrhythmias B. Hypoglycemia C. Seizures D. Neurogenic shock

Correct Answer is A

Explanation

A. Cardiac dysrhythmias are a serious complication of hypokalemia (potassium <3.5 mEq/L), especially in clients taking loop diuretics like furosemide, which increase potassium excretion. Monitoring heart rhythm is essential.
B. Hypoglycemia is not directly associated with low potassium or furosemide.
C. Seizures are more commonly linked to hyponatremia or severe hypocalcemia, not mild hypokalemia.
D. Neurogenic shock is typically caused by spinal cord injury, not by electrolyte imbalance.

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The nurse is caring for diabetic clients. Which of the following clients with type 1 diabetes is most likely to experience adequate glucose control?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient on the medical floor who is being treated for pneumonia and reports sudden shortness of breath. An arterial blood gas (ABG) is drawn. The ABG has the following values: pH 7.21, PaCO2 64 mm Hg, HCO3 24 mm Hg. Which condition does the ABG reflect?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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