Final Case Studies exam 2024 with 100% correct answers

Diabetic Ketoacidosis Case Study correct answersMr. D, a 19-year-old premed student, has been brought to the emergency department (ED) by his roommate, who is a medical student and a family friend. Mr. D reports abdominal pain, polyuria, vomiting, and thirst. He appears flushed, and his lips and mucous membranes are dry and cracked. His skin turgor is poor. He has deep, rapid respirations, and there is a fruity odor to his breath. He has type 1 diabetes and "may have skipped a few doses of insulin because of cramming for finals." He is alert and conversant but is having trouble focusing on the nurse's questions. Mr. D's vital signs and blood glucose are as follows: Blood Glucose = 685 mg/dL BP = 100/60 HR = 120 bpm RR = 32 bpm Temp = 100.8 F To clarify pertinent data, which questions would the nurse ask Mr. D? Select all that apply. 1. "When did your symptoms start?" 2. "How many times have you vomited?" 3. "When were you diagnosed with diabetes?" 4. "Where does your abdomen hurt?" 5. "Did you take any insulin today?" 6. "Do you have any allergies?" correct answersAns: 1, 2, 4, 5, 6 The onset of symptoms and the amount of fluid loss help to determine acuity. Pain assessment of the abdomen should be performed to obtain a baseline; his pain is probably associated with diabetic ketoacidosis, but infection or trauma also cause pain. If Mr. D had insulin today, this could af fect treatment. Information about allergies should be obtained for all patients regardless of the presenting