QuestionAugust 17, 2025

Which assessment finding warrants immediate intervention by the nurse? Kussmaul respirations. Blood pressure 90/50 mmHg. Onset of drowsiness. Anorexia.

Which assessment finding warrants immediate intervention by the nurse? Kussmaul respirations. Blood pressure 90/50 mmHg. Onset of drowsiness. Anorexia.
Which assessment finding warrants immediate intervention by the nurse?
Kussmaul respirations.
Blood pressure 90/50 mmHg.
Onset of drowsiness.
Anorexia.

Solution
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Answer

Kussmaul respirations. Explanation 1. Identify Critical Symptoms Kussmaul respirations indicate severe metabolic acidosis, often seen in diabetic ketoacidosis, and require immediate intervention. 2. Evaluate Other Findings Blood pressure 90/50mmHg is low but not immediately life-threatening. Onset of drowsiness and anorexia are concerning but less urgent.

Explanation

1. Identify Critical Symptoms<br /> Kussmaul respirations indicate severe metabolic acidosis, often seen in diabetic ketoacidosis, and require immediate intervention.<br />2. Evaluate Other Findings<br /> Blood pressure $90/50mmHg$ is low but not immediately life-threatening. Onset of drowsiness and anorexia are concerning but less urgent.
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