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Endocrine RN NCLEX Questions Questions

Extract:

The following scenario applies to the next 1 items
The nurse cares for a client who arrived at the emergency department (ED) complaining of generalized weakness
Item 1 of 1
History and Physical
23-year-male arrives at the emergency department (ED) reporting a headache, feeling unwell, fatigue, and thirst. The symptoms started one day ago and have worsened. He could not check his blood glucose because he reports being out of testing supplies for two weeks.
On exam, the client reports feeling fatigued and thirsty. He is lethargic and completely oriented. His physical exam revealed sunken eyes, skin that was hot to the touch, very dry mucous membranes, with white patches on his tongue.
The client has a medical history of type I diabetes mellitus.

Vital Signs
Oral Temperature 100o F (37.8o C)
Pulse 123/minute
Respirations 24/minute
Blood pressure 94/50 mm Hg
O2 saturation 96% on room air


Question 1 of 5

Complete the sentence below from the list of options. The client is at highest risk of developing....... based on the client's.............

Question Image

Correct Answer: C, D

Rationale: In type 1 diabetes, fatigue, thirst, and dry mucous membranes with elevated glucose suggest DKA. Positive serum ketones confirm ketosis, a hallmark of DKA due to insulin deficiency.

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Question 2 of 5

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Question 5 of 5

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