You are caring for a patient who has been diagnosed with Diabetes Insipidus. You know that because of decreasing amount of water in the body, the patient is MOST at risk for:
Hypernatremia, and subsequent seizures
Hyponatremia, and subsequent water intoxication
Hyperkalemia, and subsequent seizures
Fluid volume overload, and subsequent crackles in the lungs
The Correct Answer is A
A. Hypernatremia is a condition where the sodium level in the blood is abnormally high. This occurs in DI due to excessive water loss without adequate replacement. Seizures can be a serious complication of severe hypernatremia as it disrupts the normal function of the brain.
B. Hyponatremia is low sodium levels, which is opposite to what happens in DI.
C. Hyperkalemia is high potassium levels, unrelated to DI.
D. Fluid volume overload is also opposite to what happens in DI, as patients with DI lose excessive fluids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This is the amount of blood pumped out of the left ventricle with each heartbeat.
B. This is the percentage of blood pumped out of the left ventricle with each heartbeat compared to the total amount of blood in the ventricle before the beat.
C. This refers to the total resistance the blood encounters as it flows through the circulatory system.
D. This is the total amount of blood pumped out of the left ventricle per minute. It is calculated by multiplying stroke volume by heart rate.
Correct Answer is C
Explanation
A. While this is appropriate for mild hypoglycemia, the patient is lethargic, indicating a more severe state.
B. While the provider should be notified, immediate intervention is necessary to treat the hypoglycemia.
C. A blood glucose of 52 is dangerously low, and the patient is exhibiting symptoms of severe hypoglycemia. Administering 15 grams of simple carbohydrates, such as glucose tablets or juice, is the quickest way to raise blood sugar levels.
D. While rechecking blood glucose is important, it is not the priority. Immediate intervention to raise blood sugar levels is crucial.
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