HESI RN
HESI RN Med Surg 3 Questions
Extract:
The client is a 29-year-old female with a history of type 1 diabetes mellitus from the age of 6. She controls her blood glucose with an insulin pump and uses a continuous glucose monitor. The client was out of town, and her insulin pump was damaged. She had forgotten her backup long-acting insulin at home, so she took the 6-hour drive home. By the time she arrived at home, she was having nausea and vomiting. Her blood glucose meter read over 500 mg/dL (27.8 mmol/L). She took a dose of insulin glargine and took herself to the emergency department (ED).
The nurse draws the arterial blood gas and waits for results
Question 1 of 5
Based on the client's diagnosis, which results does the nurse expect in the blood gas? Select all that apply.
Correct Answer: C,D
Rationale: Diabetic ketoacidosis (DK
A) causes metabolic acidosis due to ketone accumulation, leading to a pH below 7.35. Bicarbonate is depleted while neutralizing excess acids, resulting in levels below 18 mEq/L.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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