Author Question: The patient's admitting 12-lead ECG shows wide, M-shaped P waves. Which of the following admitting ... (Read 58 times)

wenmo

  • Hero Member
  • *****
  • Posts: 540
The patient's admitting 12-lead ECG shows wide, M-shaped P waves. Which of the following admitting diagnoses could be responsible for this finding?
 
  a. Mitral stenosis
  b. Chronic pulmonary disease
  c. Hypotension
  d. Pericarditis

Question 2

A patient in diabetic ketoacidosis is very lethargic and has a funny  odor to his breath. The nurse would suspect this to be a result of
 
  a. alcohol intoxication.
  b. hyperglycemia.
  c. hyperphosphatemia.
  d. acetone.



Kjones0604

  • Sr. Member
  • ****
  • Posts: 327
Answer to Question 1

A
Wide, M-shaped P waves are seen in left atrial hypertrophy and are called P mitrale because left atrial hypertrophy is often caused by mitral stenosis.

Answer to Question 2

D
Acid ketones dissociate and yield hydrogen ions (H+) that accumulate and precipitate a fall in serum pH. The level of serum bicarbonate also decreases consistent with a diagnosis of metabolic acidosis. Breathing becomes deep and rapid (Kussmaul respirations) to release carbonic acid in the form of carbon dioxide. Acetone is exhaled, giving the breath its characteristic fruity odor.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

People about to have surgery must tell their health care providers about all supplements they take.

Did you know?

Bacteria have been found alive in a lake buried one half mile under ice in Antarctica.

Did you know?

The average adult has about 21 square feet of skin.

Did you know?

It is widely believed that giving a daily oral dose of aspirin to heart attack patients improves their chances of survival because the aspirin blocks the formation of new blood clots.

Did you know?

Colchicine is a highly poisonous alkaloid originally extracted from a type of saffron plant that is used mainly to treat gout.

For a complete list of videos, visit our video library