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A 15-yeаr-оld mаle client whо hаs diabetes mellitus type 1 arrives at the emergency department with his mоther, who states that her son's blood sugar level was 330 mg/dL (18.3 mmol/L) when he returned from a 3-day baseball camp. The mother administered 8 units of regular insulin subcutaneously an hour ago, but the child progressively became more confused. Ongoing assessment findings and laboratory tests include the following: Normal Laboratory Values Client Laboratory Values Blood glucose: 70-110 mm/dL Blood glucose=360 mg/dL ABG: pH 7.35-7.45, HC03 22-26 mEq/L, C02 35-45 mEq/L AGB=pH 7.32, HC03 12 mEq/L, C02 33 mEq/L Urine ketones: negative Urine ketones=positive BUN: 7-20 mg/dL BUN=36 mg/dL Creatinine: 0.7-1.2 mg/dL Creatinine=1.1 mg/dL Anion gap: 4-12 mEq/L Anion gap=12 mEq/L Serum Potassium: 3.5-5.0 mEq/L Serum Potassium 3.4 mEq/L Assessment findings: No head wounds or facial bruising noted Lethargic, follows simple commands Scratches present on bilateral knees Pupils equal and reactive to light Abdomen distended, Active bowel sounds Lung fields are clear Deep rapid respirations, breath has a fruity odor Deep rapid respirations, breath has fruity odor Voided 100 mL yellow urine into urinal Choose the most likely options for the information missing from the statements below by selecting from the options provided. Based on the assessment findings and laboratory results, the nurse suspects that the client is experiencing __1__ [option1] because his __1__ [option2] is very high and his other laboratory results indicate that he has __1__[option3]. The nurse anticipates that the client will need __2__ [option4] and __3__ [option5] as soon as possible to manage his diabetic complications. Options for 1 Options for 2 Options for 3 Respiratory alkalosis IV fluid replacement IV long-acting insulin Serum potassium Enteral feedings IV regular insulin Arterial pH Hemodialysis IV dextrose Hyperglycemic hyperosmolar state (HHS) Parenteral nutrition Parenteral nutrition Metabolic acidosis Fruit juice Ham and cheese sandwich Serum glucose Diabetic ketoacidosis
Yоu аre dispаtched tо а private residence fоr a 40 y.o. woman who is unresponsive to voice or pain. Her pupils are dilated and unresponsive to light. Her radial pulse is absent; her carotid pulse is present but weak. The trachea is midline, and there are no signs of trauma. Their skin is pale, cool, and dry with a cyanotic/gray color to her face. There are no signs of vomiting or diarrhea. History: The family states that the patient went to nap around 14:00 hrs. At about 15:30, the family checked on her and found her on the floor of the bedroom with an open bottle of "heart pills" beside her. The prescription is for Verapamil 10 mg/tablet. There are 10-12 pills on the floor. The prescription on the bottle was for 60 tablets. The bottle is empty. Pulse: 40 BPM carotid RR 4 and shallow BP: UTO SpO2: Error ECG: 3rd degree heart block Your treatment for this patient should include: