Author Question: A client who has diabetes begins to experience nausea, vomiting, weakness, fatigue, and blurred ... (Read 29 times)

saliriagwu · **on:** Jul 22, 2018

A client who has diabetes begins to experience nausea, vomiting, weakness, fatigue, and blurred vision. The nurse observes the client's skin is warm and flushed and notes a fruity odor to the client's breath.

The nurse should anticipate the client will be treated for: a. hypoglycemia
b. diabetic ketoacidosis
c. hyperosmolar hyperglycemic nonketotic syndrome
d. insulin resistance

Question 2

A nurse is caring for a client diagnosed with sleep apnea. Which of the following nursing diagnoses should the nurse include in the client's nursing care plan?

A) Aspiration
B) Impaired bed mobility
C) Impaired gas exchange
D) Risk for injury

carlsona147 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Diabetic ketoacidosis (DKA) occurs predominantly in clients who have type 1 diabetes and can be precipitated by factors such as stress, illness, or surgery. DKA may occur gradually or suddenly, and manifestations are similar to those of hyperglycemia (polyuria, polyphagia, and polydipsia); other symptoms may include nausea and vomiting, abdominal pain, headache, weakness, fatigue, blurred vision, skin that is hot and of poor turgor, Kussmaul's respirations, and fruity breath odor.

Answer to Question 2

C
Feedback:
The nurse should include the nursing diagnosis of impaired gas exchange in her nursing care plan. During the apneic or hypopneic periods, ventilation decreases, and blood oxygenation drops. The accumulation of carbon dioxide and the fall in oxygen cause brief periods of awakening throughout the night. Aspiration, impaired bed mobility, and risk of injury are not appropriate diagnoses because the client's loss of sleep poses no direct risk of aspiration, immobility, or injury risk.