Question

An adolescent with type I DM is admitted to ER with DKA. Which assessment findings would the nurse expect to see?

1. sweating and tremors
2. hunger and hypertension
3. cold, clammy skin and irritability
4. fruity breath and decreasing level of consciousness

Answer 1

The nurse would expect to see cold, clammy skin, irritability, fruity breath, and a decreasing level of consciousness in an adolescent with type 1 DM admitted to the ER with DKA.

Step-by-step explanation:

The nurse would expect to see the assessment findings of cold, clammy skin and irritability in an adolescent with type 1 DM admitted to the ER with DKA. These are symptoms of ketoacidosis, a complication of type 1 diabetes characterized by high levels of ketones in the blood. Fruity breath and a decreasing level of consciousness are also common signs of DKA.