Author Question: A nurse assesses a client who is experiencing diabetic ketoacidosis (DKA). For which manifestations ... (Read 194 times)

NClaborn · **on:** Jun 25, 2018

A nurse assesses a client who is experiencing diabetic ketoacidosis (DKA). For which manifestations should the nurse monitor the client? (Select all that apply.)

a. Deep and fast respirations
b. Decreased urine output
c. Tachycardia
d. Dependent pulmonary crackles
e. Orthostatic hypotension

Question 2

A nurse assesses clients at a health fair. Which clients should the nurse counsel to be tested for diabetes? (Select all that apply.)

a. 56-year-old African-American male
b. Female with a 30-pound weight gain during pregnancy
c. Male with a history of pancreatic trauma
d. 48-year-old woman with a sedentary lifestyle
e. Male with a body mass index greater than 25 kg/m2
f.
28-year-old female who gave birth to a baby weighing 9.2 pounds

emily12345 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, C, E
DKA leads to dehydration, which is manifested by tachycardia and orthostatic hypotension. Usually clients have Kussmaul respirations, which are fast and deep. Increased urinary output (polyuria) is severe. Because of diuresis and dehydration, peripheral edema and crackles do not occur.

Answer to Question 2

ANS: A, D, E, F
Risk factors for type 2 diabetes include certain ethnic/racial groups (African Americans, American Indians, Hispanics), obesity and physical inactivity, and giving birth to large babies. Pancreatic trauma and a 30-pound gestational weight gain are not risk factors.