Author Question: The nurse is providing information to a teenager newly diagnosed with diabetes and his parents. The ... (Read 72 times)

nenivikky

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The nurse is providing information to a teenager newly diagnosed with diabetes and his parents. The nurse teaches them that the signs of diabetic ketoacidosis (DKA) include: Standard Text: Select all that apply.
 
  1. Change in mental status.
  2. Tachycardia.
  3. Fruity breath odor.
  4. Rapid, shallow respirations.
  5. Abdominal pain.

Question 2

The nurse is evaluating the activity tolerance of a 9-month-old with iron-deficiency anemia. Which of the following findings indicates that the child is tolerating activity?
 
  1. Tachycardia
   2. Decreased alertness
   3. Respiratory rate less than 50 with activity
   4. Muscle weakness



katkat_flores

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Answer to Question 1

1,3,5
Rationale 1: A change in mental state can be associated with DKA.
Rationale 2: Tachycardia is not a typical symptom of DKA.
Rationale 3: A fruity breath odor is common when the client is in a state of ketoacidosis.
Rationale 4: Respirations are rapid, but deep (Kussmaul's breathing) in DKA.
Rationale 5: Abdominal pain is commonly seen with DKA.
Global

Answer to Question 2

3
Rationale:
1. Tachycardia, decreased alertness, and muscle weakness are all signs that iron-deficiency anemia is not resolving and activity tolerance is not improving.
2. Tachycardia, decreased alertness, and muscle weakness are all signs that iron-deficiency anemia is not resolving and activity tolerance is not improving.
3. Iron-deficiency anemia can result in less oxygen reaching the cells and tissues, causing activity intolerance. An indication that a 9-month-old child is tolerating activity and that iron-deficiency anemia is resolving would be the child's maintaining a respiratory rate of less than 50 (within a normal range for this age) during activity.

4. Tachycardia, decreased alertness, and muscle weakness are all signs that iron-deficiency anemia is not resolving and activity tolerance is not improving.



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