*NURSING > EXAM > Prince Georges Community College, Largo NURSING 101 Diabetes Type I Assessment Exam latest Fall 2021 (All)

Prince Georges Community College, Largo NURSING 101 Diabetes Type I Assessment Exam latest Fall 2021. Graded A With Rationales

Document Content and Description Below

The nurse notes that Lara's breath has a fruity odor, and she is exhibiting Kussmaul respirations. 1. What is the mechanism that results in Kussmaul respirations? A) To compensate for metabolic ac... idosis, the respirations are deep and rapid. CORRECT To compensate for the ketoacidosis (metabolic acidosis), the lungs attempt to remove CO2 through a pattern of deep, rapid respirations referred to as Kussmaul respirations. B) To overcome respiratory acidosis, the respirations are fast and shallow. INCORRECT Diabetic ketoacidosis is not respiratory acidosis. C) Injury to the brain's respiratory center results in periods of apnea. INCORRECT This may occur late in untreated DKA, but it is not the mechanism producing Kussmaul respirations. D) Hypoxemia causes labored, gasping, and irregular respirations. INCORRECT This is not the mechanism producing Kussmaul respirations. Correct answer(s): A Lab work reveals that Lara's blood glucose level is 370 mg/dl, plasma bicarbonate is 8 mEq/L, potassium is 5.2 mEq/L, and she has elevated ketones in her urine. Goals of treatment in DKA include correcting fluid imbalance and restoring normal pH, electrolytes, and glucose. 2. To achieve the goal of restoring Lara's fluid volume, the nurse would expect to implement which intervention? A) Insert a saline lock for PRN diuretic administration. INCORRECT DKA causes dehydration, which is not treated with diuretics. B) Administer an albumin/lasix continuous infusion. INCORRECT DKA causes dehydration, which is not treated with albumin or diuretics. C) Maintain an infusion of normal saline solution. CORRECT The treatment of hyperglycemia includes fluid replacement to correct dehydration caused by the increased concentration of glucose in the blood. Isotonic fluids, such as normal saline, are used initially to treat the dehydration. [Show More]

Last updated: 2 years ago

Preview 1 out of 17 pages

Buy Now

Instant download

We Accept: