The nurse is assessing a client diagnosed with type 2 diabetes ...

[jCorn1234]

The nurse is assessing a client diagnosed with type 2 diabetes mellitus for symptoms associated with diabetic ketoacidosis. Which of the following will the nurse most likely assess in this client? (Select all that apply.)
 
  1. Dehydration
  2. Fruity breath odor
  3. Hypertension
  4. Bradycardia
  5. Kussmaul breathing
  6. Abdominal pain

Question 2

During the admitting assessment process, a client asks, What is oliguria? Based on the nurse's knowledge, the best response would be:
 
  1. Oliguria is a urine output less than 50 mL in 24 hours.
  2. Oliguria is a urine output less than 250 mL in 24 hours.
  3. Oliguria is a urine output less than 400 mL in 24 hours.
  4. Oliguria is a decreased urine output indicative of disease.

[ebenov]

Answer to Question 1

1, 2, 5, 6
The client diagnosed with diabetic ketoacidosis will experience dehydration, fruity breath odor, Kussmaul respirations, and abdominal pain. The client will also have hypotension and not hypertension. The client's heart rate will be tachycardic and not bradycardic.

Answer to Question 2

3
Oliguria is a decrease in urine output; however, this response is not specific enough. Oliguria demonstrates a urine output of 400 mL/24 hours. Anuria is a urine output of 50 mL/24 hours. Even though a urine output of less than 250 mL in 24 hours would be considered oliguria, the definition is that of less than 400 mL of urine within 24 hours.

[jCorn1234]

Correct answers!

[ebenov]

Great! Please up vote