Practice Question
A nurse is providing care for a client who has diabetes mellitus. Which of the following laboratory findings indicates the client most likely as the diagnosed with diabetic ketoacidosis (DKA)?
Answer Choices:
Correct Answer:
Serum bicarbonate less than 15
Rationale:
🟣 Diabetic ketoacidosis (DKA) leads to metabolic acidosis, shown by low serum bicarbonate.
🟣 Bicarbonate <15 mEq/L indicates severe buffering system exhaustion due to ketoacid buildup.
🟣 Clients with DKA also exhibit hyperglycemia, dehydration, and ketonuria.
🟣 pH in DKA typically falls below 7.35, confirming acidotic state.
🟣 Other lab values like normal sodium or BUN don’t confirm acidosis.
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This question is from Custom PSNG Endocrine which contains 34 questions.
More Questions from This Exam
A nurse is reinforcing discharge teaching for a client who was admitted with diabetes insipidus. Which of the following teaching topics should be prioritized?
Answer Choices:
A. Frequency of urination
B. Change in appetite
C. Benefit of medical alert bracelet
D. Weight gain or loss
A nurse in the emergency department is caring for a client who appears shaky, pale, clammy, and is tachycardic. The client states, "l think I'm having an anxiety attack and need some medication." Which of the following is an appropriate action for the nurse to take?
Answer Choices:
A. Establish IV access.
B. Check a fingerstick blood glucose level.
C. Activate the Rapid Response Team.
D. Administer an anti-anxiety medication.
A client presents in the emergency department complaining of palpitations and tachycardia, Blood glucose testing reveals a level of 40 mg/dL, and the client reports no usual symptoms of a low glucose level. Which of the following conditions may the client be experiencing?
Answer Choices:
A. Medication-induced hypoglycemia
B. Nocturnal hypoglycemia
C. Hypoglycemia hyperawareness
D. Hypoglycemia-associated autonomic failure
A nurse is caring for a client who was diagnosed with type 2 diabetes mellitus 2 years ago. The client reports following the recommended diet and exercising four times per week. Which of the following findings indicates that the client's beta cells are restoring normal function?
Answer Choices:
A. Weight gain of 5 lb
B. HbA1c = 5.6%
C. Fasting blood glucose of 140 mg/dL
D. Client reports smoking cessation
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: 💫PN Custom Exam(s)
- Answer Choices: 4