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.

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Correct Answer is A

Explanation

A. When blood sugar levels increase, the pancreas releases insulin. Insulin helps glucose move from the bloodstream into the cells for energy.
B. While the liver plays a crucial role in blood sugar regulation, the pancreas and its hormones, insulin and glucagon, are primarily responsible.
C. When blood sugar levels fall, the pancreas releases glucagon, not insulin.
D. Glucagon is released when blood sugar levels are low, not high.

A. Pink mucous membranes B. SpO2 of 97% C. Wheezing D. Retraction of sternal muscles E. Tachycardia

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

Explanation

A. Pink mucous membranes indicates adequate oxygenation, which is a positive sign.
B. SpO2 of 97% is a normal oxygen saturation level and does not indicate respiratory decline.
C. While wheezing is a common symptom of an asthma attack, it doesn't necessarily indicate worsening respiratory status. It can be present even in mild to moderate attacks.
D. Retraction of sternal muscles is a sign of severe respiratory distress, indicating that the patient is working extremely hard to breathe.
E. An increased heart rate can be a sign of the body trying to compensate for decreased oxygen levels, indicating worsening respiratory status.

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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

An RN preceptor is reviewing blood sugar control with a newly graduated nurse. Which of the following represents the normal process of how the body regulates blood sugar levels:

Correct Answer is A

Explanation

A nurse in the emergency department is caring for a client who is experiencing an acute asthma attack. Which of the following statements indicates that the respiratory status is declining?

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

Explanation

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