A patient with diabetes has a glucose level of 460 mg/dL, deep rapid respirations, fruity breath and severe weakness. Which finding requires the most immediate nursing attention?

Correct answer: A. Deep rapid respirations

  • A. Deep rapid respirations
  • B. Fruity-smelling breath
  • C. Severe weakness
  • D. Very high blood glucose

Explanation

Deep rapid respirations indicate compensatory breathing for metabolic acidosis in diabetic ketoacidosis, making breathing the priority under the airway and breathing principle. The other findings are serious but do not take priority over an immediate respiratory problem.

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The endocrine system covers hormone-producing glands including the pituitary, thyroid, parathyroids, adrenals, pancreas, pineal gland, ovaries and testes. It explains hormone classes, target-cell responses, feedback control, and the functions of hormones such as insulin, thyroxine, cortisol, growth hormone and ADH, which is often confused with a kidney-produced substance.

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