What clinical manifestation should the nurse assess for in a patient with uncontrolled diabetes mellitus and ketoacidosis?

Febrile and shallow respirations

Increased rate and depth of respiration

Weakness and weight gain

Extremity tremors followed by seizure activity

Answer and Explanation

The Correct Answer is B

Choice A rationale

Febrile and shallow respirations are not typically associated with uncontrolled diabetes mellitus and ketoacidosis. These symptoms could be indicative of a different medical condition.

Choice B rationale

An increased rate and depth of respiration, also known as Kussmaul breathing, is a common clinical manifestation in patients with uncontrolled diabetes mellitus and ketoacidosis.

Choice C rationale

Weakness and weight gain are not typically associated with uncontrolled diabetes mellitus and ketoacidosis. These symptoms could be indicative of a different medical condition.

Choice D rationale

Extremity tremors followed by seizure activity are not typically associated with uncontrolled diabetes mellitus and ketoacidosis. These symptoms could be indicative of a different medical condition.

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Correct Answer is C

Explanation

Choice A rationale

Limiting intake to non-caloric containing liquids until the glucose is within normal limits is not the best advice for a patient with Type 1 diabetes reporting a blood glucose level of 210 mg/dL and symptoms of a sore throat, cough, and fever. While it’s important to stay hydrated, especially when sick, it’s also crucial to maintain a balanced diet to provide the body with necessary nutrients for recovery.

Choice B rationale

Decreasing intake of carbohydrates until blood glucose level is less than 100 mg/dL is not recommended. Carbohydrates are a primary source of energy, and reducing their intake could lead to low blood sugar or hypoglycemia, which can be dangerous.

Choice C rationale

Monitoring blood glucose levels every 4 hours and notifying the doctor if it continues to rise is the best advice. When a patient with diabetes is sick, their blood glucose levels can rise due to the stress the body is under. Regular monitoring allows for timely adjustments in insulin dosage and helps prevent diabetic ketoacidosis, a serious complication.

Choice D rationale

Administering only the morning prescribed dose of insulin is not advisable. Insulin requirements can increase when a person with diabetes is sick. Therefore, sticking to the regular insulin regimen without adjustments could lead to high blood sugar or hyperglycemia.

A. Rotate sites when injecting insulin glargine. B. There is no peak of action for this insulin, which reduces the risk of hypoglycemia. C. Food should be consumed within 30 minutes after injection. D. Check for microalbuminuria if blood glucose levels are above 280 mg/dL.

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Rotating injection sites when administering insulin glargine is important to prevent lipodystrophy, a condition that can affect insulin absorption.

Choice B rationale

Insulin glargine has no peak of action, which reduces the risk of hypoglycemia. This is a key feature of long-acting insulins like glargine.

Choice C rationale

Food does not need to be consumed within 30 minutes after injection of insulin glargine. This is a characteristic of rapid-acting insulins, not long-acting insulins like glargine.

Choice D rationale

Checking for microalbuminuria if blood glucose levels are above 280 mg/dL is a good practice. Microalbuminuria can be an early sign of kidney damage, which can occur with poorly controlled diabetes.

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What clinical manifestation should the nurse assess for in a patient with uncontrolled diabetes mellitus and ketoacidosis?

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient diagnosed with Type 1 diabetes reports a blood glucose level of 210 mg/dL and symptoms of a sore throat, cough, and fever. What advice should the nurse give to the patient?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

The nurse is discharging a client who was just prescribed insulin glargine daily at 2000. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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