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Multiple Choice
A client is diagnosed with diabetic ketoacidosis. Which finding would the nurse anticipate?
A
Elevated blood glucose levels
B
Low blood pH
C
Decreased ketone levels in urine
D
Increased insulin sensitivity
Verified step by step guidance
1
Understand the condition: Diabetic ketoacidosis (DKA) is a serious complication of diabetes that occurs when the body produces high levels of blood acids called ketones. This happens when the body can't produce enough insulin.
Identify the key features of DKA: In DKA, the body starts breaking down fat at a rate that is much too fast. The liver processes the fat into a fuel called ketones, which causes the blood to become acidic.
Anticipate elevated blood glucose levels: Since DKA is a result of insufficient insulin, glucose cannot enter the cells and remains in the bloodstream, leading to elevated blood glucose levels.
Consider the blood pH: The accumulation of ketones in the blood leads to a decrease in blood pH, resulting in acidosis. Therefore, a low blood pH is expected.
Evaluate ketone levels in urine: In DKA, the body produces excess ketones, which are excreted in the urine. Therefore, you would anticipate increased, not decreased, ketone levels in the urine.