The nurse is providing information to a teenager newly diagnosed ...

[nenivikky]

The nurse is providing information to a teenager newly diagnosed with diabetes and his parents. The nurse teaches them that the signs of diabetic ketoacidosis (DKA) include: Standard Text: Select all that apply.
 
  1. Change in mental status.
  2. Tachycardia.
  3. Fruity breath odor.
  4. Rapid, shallow respirations.
  5. Abdominal pain.

Question 2

The nurse is evaluating the activity tolerance of a 9-month-old with iron-deficiency anemia. Which of the following findings indicates that the child is tolerating activity?
 
  1. Tachycardia
   2. Decreased alertness
   3. Respiratory rate less than 50 with activity
   4. Muscle weakness

[katkat_flores]

Answer to Question 1

1,3,5
Rationale 1: A change in mental state can be associated with DKA.
Rationale 2: Tachycardia is not a typical symptom of DKA.
Rationale 3: A fruity breath odor is common when the client is in a state of ketoacidosis.
Rationale 4: Respirations are rapid, but deep (Kussmaul's breathing) in DKA.
Rationale 5: Abdominal pain is commonly seen with DKA.
Global

Answer to Question 2

3
Rationale:
1. Tachycardia, decreased alertness, and muscle weakness are all signs that iron-deficiency anemia is not resolving and activity tolerance is not improving.
2. Tachycardia, decreased alertness, and muscle weakness are all signs that iron-deficiency anemia is not resolving and activity tolerance is not improving.
3. Iron-deficiency anemia can result in less oxygen reaching the cells and tissues, causing activity intolerance. An indication that a 9-month-old child is tolerating activity and that iron-deficiency anemia is resolving would be the child's maintaining a respiratory rate of less than 50 (within a normal range for this age) during activity.

4. Tachycardia, decreased alertness, and muscle weakness are all signs that iron-deficiency anemia is not resolving and activity tolerance is not improving.