A pediatric client is admitted to the hospital unconscious. The ...

[bobthebuilder]

A pediatric client is admitted to the hospital unconscious. The client has a history of type 1 diabetes, and according to the client's mother, has been to two birthday parties in the last few days and has resisted taking the prescribed insulin.
 
  At school the client had two more pieces of birthday cake and some ice cream at a class birthday party. What is the likely reason for this client's unconscious state?
  1. Metabolic alkalosis
  2. Metabolic ketoacidosis
  3. Insulin shock
  4. Insulin reaction

Question 2

A nurse is planning care for a pediatric client diagnosed with adrenal insufficiency (Addison disease). Which nursing diagnosis is the priority for this client?
 
  1. Risk for Deficient Fluid Volume
  2. Risk for Injury Secondary to Hypertension
  3. Acute Pain
  4. Imbalanced Nutrition: More than Body Requirements

[Briannahope]

Answer to Question 1

Correct Answer: 2
Rationale: Metabolic acidosis or ketoacidosis could have occurred because of the excessive intake of sugar with no additional insulin. The body burns fat and protein stores for energy when no insulin is available to metabolize glucose. Altered consciousness occurs as symptoms progress. Metabolic alkalosis, insulin shock, or insulin reaction would not be happening in this case.

Answer to Question 2

Correct Answer: 1
Rationale: Adrenal insufficiency can cause fluid deficit. The goal of care is to maintain fluid and electrolyte balance while normal levels of corticosteroids and mineral corticoids are established. Therefore, Acute Pain and Imbalanced Nutrition: More than Body Requirements are not priority nursing diagnoses. A symptom of adrenal insufficiency is hypotension, not hypertension.

[bobthebuilder]

Correct answers!

[Briannahope]

Great! Please up vote