Examl 1:l NSGl 430/l NSG430l (Latestl 2025/l
2026l Update)l Adultl Healthl Nursingl IIl Reviewl |l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l GCU
Q:l whatl isl thel functionl ofl al rapidl responsel team?
Answer:
structure,l teaml work,l andl respondingl inl timesl ofl clientl declinationl tol enhancel clientl safetyl andl improvel outcomel ofl thel patients
Q:l complicationl ofl ARD'sl andl howl tol prevent?
Answer:
ventilator-associatedl pneumonial -l handl washing,l standardl precautions,l orall care
Q:l whatl isl DKA
Answer:
diabeticl patientl (typel I)l hasl highl bloodl sugarsl inl thel bloodl withl suchl littlel bloodl sugarl inl thel cellsl thatl thel cellsl beginl usingl ketonesl tol keepl functioning,l causingl acidoticl state
Q:l signsl ofl DKA
Answer: 1 / 3
BGl >l 200,l acidicl pH,l ketonesl inl urine,l dehydration,l lowl bicarbonate,l lethargyl andl weakness,l Kussmaull respirations,l polyuria,l fruityl breath,l polydipsia
Q:l thel nursel suspectsl DKA,l whatl arel thel nursingl actions?
Answer:
first,l checkl bloodl glucose -l patentl airway,l givel O2l vial nasall cannula -l establishl IV,l fluidl bolusl (usuallyl NSl runningl atl 1L/hr) -l IVl insulinl (0.1U/kg/min) -l checkl Kl levelsl asl well
Q:l whatl isl HHS?
Answer:
lifel threateningl highl bloodl glucosel (abovel 600)l withl typel IIl DM -l hyperosmolarityl sol therel isl enoughl insulinl tol preventl ketoacidosis
Q:l signsl ofl HHS?
Answer:
-l highl seruml osmolarityl -l nol ketones,l nol ABGl messl ups -l neurologicall manifestations -l BGl >l 600
Q:l nursingl actionl forl al clientl whol isl confused,l uponl assessmentl hasl al normall ABGl andl al bloodl glucosel ofl 780l mg/dL
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Answer:
givel D5
Q:l whyl doesl al clientl withl DKAl havel Kussmaull Respirations?
Answer:
froml metabolicl acidosis,l theyl arel tryingl tol blowl offl excessl CO2
Q:l forl DKA,l whatl isl thel PRIORITYl action?
Answer:
fluidsl firstl -l 1Ll ofl NSl perl hour
Q:l forl al patientl gettingl treatedl forl DKAl withl insulin,l whatl arel somel nursingl considerations?
Answer:
1.l hypokalemial -l insulinl canl causel this 2.l lowl bloodl sugarl -l checkl ifl showingl signsl ofl hypoglycemia
Q:l whatl isl thel rolel ofl ADH?
Answer:
regulatesl water,l increasesl inl ADHl whenl dehydrated
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