Author Question: The emergency department with nausea, vomiting, and abdominal pain. ABG results reveal a pH of 7.2 ... (Read 63 times)

pane00 · **on:** Jun 25, 2018

the emergency department with nausea, vomiting, and abdominal pain. ABG results reveal a pH of 7.2 and a bicarbonate level of 20 mEq/L.

A patient newly diagnosed with diabetes mellitus is admitted to What other assessment findings should the nurse anticipate in this patient?

Select all that apply.
1. tachycardia
2. weakness
3. dysrhythmias
4. Kussmaul respirations
5. cold, clammy skin

Question 2

The nurse is reviewing care needs for a group of assigned patients. Which patients should the nurse identify as being at risk for the development of hypercalcemia?

Select all that apply.
1. the patient with a malignancy
2. the patient taking lithium
3. the patient who uses sunscreen to excess
4. the patient with hyperparathyroidism
5. the patient who overuses antacids

firehawk60 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 3, 4
These ABG results, coupled with the patient's recent diagnosis of diabetes mellitus and history of vomiting, would lead the nurse to suspect metabolic acidosis. Further assessment findings of this condition are weakness; bradycardia; dysrhythmias; general malaise; decreased level of consciousness; warm, flushed skin; and Kussmaul respirations.

Answer to Question 2

Correct Answer: 1, 2, 4, 5
Patients with malignancy are at risk for development of hypercalcemia due to destruction of bone or the production of hormone-like substances by the malignancy. Lithium and overuse of antacids can result in hypercalcemia. Hypercalcemia can result from hyperparathyroidism, which causes release of calcium from the bones, increased calcium absorption in the intestines and retention of calcium by the kidneys. The patient who uses sunscreen to excess is more likely to have a vitamin D deficiency, which would result in hypocalcemia.