Evolve HESI EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution vc




HESI RN case studies Diabetes Type 1 2026 A+ GRADE A
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SSURED COMPLETE SOLUTIONS AND VERIFIED ANSWE vc vc vc vc vc




RS (7220A) vc




QUESTION 1 vc




1. What is the mechanism that results in Kussmaul respirations?
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ANSWER

To compensate for metabolic acidosis, the respirations are deep and rapid. [Kussmaul respirations are f
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ast, deep breaths that occur in response to metabolic acidosis. Kussmaul respirations happen when the
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body tries to remove carbon dioxide, an acid, from the body by quickly breathing it out. Diabetic ketoaci
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dosis is the most common cause of Kussmaul respirations.)]
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QUESTION 2 vc




2. To achieve the goal of restoring Lara's fluid volume, the nurse would expect to implem
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ent which intervention?
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ANSWER

Maintain an infusion of normal saline solution. [The treatment of hyperglycemia includes fluid replacem
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ent to correct dehydration caused by the increased concentration of glucose in the blood. Isotonic soluti
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on, like normal saline, is initially used to treat the dehydration.] (DKA treatment: Hydrate first! Insulin s
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econd, K+ third) vc vc




QUESTION 3 vc




3. To restore Lara's blood glucose to a normal level, what should the nurse prepare to ad
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minister?
ANSWER

An IV infusion containing regular insulin. [Continuous IV infusions containing regular insulin are used to
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reduce the client's blood glucose level. The client's IV solution will be changed to one that contains gluc
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ose when the blood glucose level reaches 250 mg/dL.]
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, QUESTION 4 vc




4. In addition to monitoring Lara's blood glucose level, what additional lab values should
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the nurse monitor carefully?
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ANSWER

-Hemoglobin -Potassium - vc vc



Blood Urea Nitrogen (BUN) [Though blood glucose and potassium are the most critical lab values to ass
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ess, hemoglobin levels may be altered related to the state of hydration and should be monitored. Treat
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ment with an IV insulin infusion will cause potassium to return to cells and may result in hypokalemia.
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The client should be closely monitored for symptoms of hypokalemia. Supplemental potassium may be a
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dded to the IV infusion to prevent or correct this. Dehydration that occurs with DKA can lead to increas
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ed BUN and should be monitored for signs of renal insufficiency.] Do not choose magnesium or uric acid
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even though other sites say to monitor those-evolve says not to.
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QUESTION 5 vc




5. The nurse's decision about what to tell these callers should be based on what primary
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consideration?
ANSWER

Lara's right to privacy regarding her health information. [The Health Insurance Portability and Accounta
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bility Act (HIPAA) Privacy Rule stipulates that a client has the right to privacy regarding health informat
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ion and must give permission for the release of that information.]
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QUESTION 6 vc




6. Which response is best for the charge nurse to provide?
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ANSWER

"The lab values can be copied as long as there is no identifying client data." [Information used for educa
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tional purposes may be used so long as the data does not permit identification of the client.]
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QUESTION 7 vc




7. The nurse identifies that Lara has experienced classic symptoms of diabetes, which ar
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e:
ANSWER

Polyuria, polyphagia, and polydipsia. [Increased urinary output (polyuria), increased appetite (polyphagi
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a), and increased thirst (polydipsia) are the three classic manifestations of diabetes mellitus.]
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QUESTION 8 vc