Which of the following is not a sign of DKA?
Low blood glucose level
Ketonuria
Dehydration
Kussmaul respirations
The Correct Answer is A
Choice A reason: A low blood glucose level is not a sign of diabetic ketoacidosis (DKA). In fact, DKA is characterized by high blood glucose levels due to a lack of insulin, which leads to the breakdown of fats for energy and the production of ketones.
Choice B reason: Ketonuria, or the presence of ketones in the urine, is a sign of DKA. It occurs when the body breaks down fats for energy instead of using glucose, leading to the production of ketones, which are then excreted in the urine.
Choice C reason: Dehydration is a common sign of DKA. High blood glucose levels lead to increased urination, which causes the body to lose fluids and electrolytes, resulting in dehydration.
Choice D reason: Kussmaul respirations are a sign of DKA. These are deep, labored breathing patterns that occur as the body attempts to compensate for the metabolic acidosis caused by high levels of ketones in the blood.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Oliguria refers to the production of abnormally small amounts of urine. While it can occur in dehydration, it does not specifically indicate concentrated, dark, strong-smelling urine.
Choice B reason: Dehydration often leads to concentrated, dark, strong-smelling urine. When the body is dehydrated, the kidneys conserve water, resulting in less urine that is more concentrated with waste products, giving it a darker color and stronger smell.
Choice C reason: Increased fluid volume would typically result in dilute urine, which is pale and has a less strong odor. Therefore, it is not associated with concentrated, dark, strong-smelling urine.
Choice D reason: Urinary retention is the inability to empty the bladder completely. While it can lead to various symptoms, it is not specifically associated with concentrated, dark, strong-smelling urine.
Correct Answer is C
Explanation
Choice A reason: This explanation is not correct. The reason why oral medications are not used for type 1 diabetes is not related to the child's ability to take the entire dose. The primary issue is the nature of insulin and how it must be administered.
Choice B reason: This statement is incorrect. The use of insulin injections is not based on age but on the type of diabetes. Type 1 diabetes requires insulin therapy regardless of the patient's age.
Choice C reason: Insulin is a protein that, if taken orally, would be broken down by the digestive enzymes in the gastrointestinal tract, rendering it ineffective. For this reason, insulin must be administered through subcutaneous injections to ensure it reaches the bloodstream intact and can effectively regulate blood glucose levels.
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