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Free NCLEX Practice Questions
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Question 1 of 1
1. Question
A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in an emergency department. Which finding would a nurse expect to note as confirming this diagnosis?
Correct
Answer & Rationale.
Option 4 is correct.
Rationale: In DKA, the arterial pH is lower than 7.35, plasma bicarbonate is lower than 15 mEq/L, the blood glucose level blood and urine. The client would be experiencing polyuria, and Kussmaul’s respirations would be present. A comatose state may occur if DKA is not treated, but coma would not confirm the diagnosis.
Test-Taking Strategy: Use the process of elimination and note the strategic word confirming in the question. Eliminate option 1 because a comatose state can exist in many conditions. Eliminate option 3 because in acidosis the pH would be low. Remember that polyuria exists in DKA. Review the clinical manifestations of DKA if you had difficulty with this question
Incorrect
Answer & Rationale.
Option 4 is correct.
Rationale: In DKA, the arterial pH is lower than 7.35, plasma bicarbonate is lower than 15 mEq/L, the blood glucose level blood and urine. The client would be experiencing polyuria, and Kussmaul’s respirations would be present. A comatose state may occur if DKA is not treated, but coma would not confirm the diagnosis.
Test-Taking Strategy: Use the process of elimination and note the strategic word confirming in the question. Eliminate option 1 because a comatose state can exist in many conditions. Eliminate option 3 because in acidosis the pH would be low. Remember that polyuria exists in DKA. Review the clinical manifestations of DKA if you had difficulty with this question
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