Your female patient with Type 1 Diabetes was brought into the Emergency Room because the family states she had been weak and fatigued after getting sick a couple of days ago. The patient is diagnosed with DKA. What do you anticipate will be ordered to treat this condition?

Blood transfusion and hourly blood sugar checks

Blood sugar checks every 4 hours and subcutaneous sliding scale Insulin

TPN

IV Regular Insulin, Continuous IV fluid administration with an Isotonic solution

Answer and Explanation

The Correct Answer is D

A.   Blood transfusions are not indicated for DKA unless there's severe anemia, which is not a common presentation.
B.   Blood sugar checks every 4 hours and subcutaneous sliding scale Insulin are not appropriate for the severe hyperglycemia and dehydration present in DKA.
C.   TPN is not necessary as the patient can tolerate oral intake once stabilized.
D.   Continuous IV fluid administration is essential to correct dehydration and electrolyte imbalances, which are common in DKA. Isotonic solutions like normal saline or lactated Ringer's are typically used.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. The absence of wheezing in a patient with an acute asthma attack is a critical sign. It may indicate that the patient is deteriorating rapidly, and their airways are closing significantly. This is a life-threatening situation requiring immediate intervention.
B. A patient with an acute asthma attack would not be discharged without significant improvement and stabilization.
C. While it might seem like an improvement, the absence of wheezing in this context is a red flag and not a positive sign.
D. The patient may still require additional bronchodilators or other interventions.

A. Rescue inhaler B. Diazepam C. Ipratropium D. Hydromorphone E. Oxygen via nasal cannula 2 L/min

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

Explanation

A. Rescue inhaler is appropriate for a COPD exacerbation as it helps to dilate the airways and improve breathing.
B. Diazepam is a benzodiazepine, which is a sedative. Sedating a patient with severe respiratory distress is contraindicated as it can further depress respiratory drive.
C. Ipratropium is a bronchodilator and is appropriate for COPD exacerbations.
D. Hydromorphone is an opioid analgesic. Opioids can depress respiratory drive, which is especially dangerous for patients with respiratory compromise such as COPD.
E. Oxygen is essential for patients with COPD exacerbations.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Your female patient with Type 1 Diabetes was brought into the Emergency Room because the family states she had been weak and fatigued after getting sick a couple of days ago. The patient is diagnosed with DKA. What do you anticipate will be ordered to treat this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

An 82-year-old client with COPD presents with restlessness, dyspnea, pursed lips, and tripod position complaining of "not being able to breathe". The nurse should question which of the following orders?

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

Explanation

Which of the following is a likely potential serious complication in patients diagnosed with SIADH?

Hospital policy is that any new patient admitted to the hospital will have their blood checked for their Hgb A1C level. Your patient's blood was drawn, and the lab calls you to report that their Hgb A1C level is 5.4. This level is:

Metabolic syndrome is a set of patient findings that place them at high risk for developing Type 2 Diabetes Mellitus. Which of the following findings would be consistent with Metabolic Syndrome?

Your STEMI patient returns from the Cath lab, after having Balloon Angioplasty percutaneously through their femoral artery. Which of the following Signs and Symptoms would be indicative of Cardiac Tamponade?

COPD is known to cause decreased levels of Oxygen saturation in the blood. This chronic hypoxemia can lead to the body to compensate and produce more Red Blood Cells (RBCs) which increases the Hematocrit. This result is called:

Which of the following would be expected findings in a patient experiencing Left-sided heart failure?

You are an RN taking report on a new patient that will be transferred to your unit. During the report, you learn that the patient has Acanthosis Nigricans. What do you expect to see when you finally get to perform a physical assessment of the patient?

Hypertensive Crisis is diagnosed when a patient's SBP is: