Author Question: The client with diabetes mellitus has a blood glucose level on admission of 596 mg/dL. The nurse ... (Read 34 times)

ericka1 · **on:** Jul 22, 2018

The client with diabetes mellitus has a blood glucose level on admission of 596 mg/dL. The nurse anticipates that this client would be experiencing which of the following types of acid-base imbalance?

1. Metabolic acidosis
2. Metabolic alkalosis
3. Respiratory acidosis
4. Respiratory alkalosis

Question 2

The nurse is preparing a plan of care for an infant who will be returning from the recovery room following the surgical repair of a cleft lip located on the right side of the lip.

On return from the recovery room, the nurse plans to position the infant: 1. Prone and flat
2. Supine and flat
3. On the left side
4. On the right side

dmurph1496 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1

Rationale: Diabetes mellitus can lead to metabolic acidosis. When the body does not have suffi-cient circulating insulin, the blood glucose level rises while the cells of the body use all available glucose and then break down glycogen and fat for fuel. The by-products of fat metabolism are acidotic, leading to the complication called diabetic ketoacidosis.

Answer to Question 2

3

Rationale: Following cleft lip repair, the infant should be positioned supine or on the side lateral to the repair to prevent the suture lines from contacting the bed linens. Immediately after surgery, it is best to place the infant on the left side rather than supine to prevent aspiration if the infant vomits.