SIADH & DI
DKA & HHS
Diabetes
Emergency Care
Triage
100

What are the expected laboratory findings in SIADH?

  • Decreased serum osmolality
  • Increased urine osmolality
  • Increased urinary sodium
  • Decreased serum sodium
100

Which laboratory finding is associated with DKA?

  • Serum bicarbonate less than 15
  • Blood pH below 7.35
  • Elevated blood glucose
  • Increased BUN
100

What should the nurse teach a client with type 1 diabetes?

  • The pancreas does not produce enough insulin
  • The client requires insulin
  • Beta-cell destruction causes insulin deficiency
100

After calling a code blue for an unresponsive client with no pulse, what should the nurse do next?

  • Begin chest compressions
  • Start CPR
  • Perform high-quality compressions
  • Continue resuscitation efforts
100

Which triage color indicates a life-threatening condition requiring immediate treatment?

  • Red
  • Immediate treatment
  • Life-threatening injury
  • Highest treatment priority
200

What condition should the nurse anticipate after pituitary tumor removal?

  • Diabetes insipidus (DI)
200

What is a clinical manifestation of HHS?

  • Insulin resistance
  • Severe dehydration
  • Very high blood glucose
  • Altered mental status
200

What acute and critical condition should be monitored for in a client with type 1 diabetes?

  • Diabetic ketoacidosis
  • Hyperglycemia
  • Ketone production
  • Metabolic acidosis
200

What is assessed under the “C” in the ABCDE assessment?

  • Heart and blood vessels
  • Circulation
  • Pulse
  • Blood pressure
200

A client has minor lacerations and can follow directions. What triage color should be assigned?

  • Green
  • Minor injuries
  • Able to walk
  • Stable condition
300

What can cause acquired central DI?

  • Surgery
  • Head trauma
  • Brain injury
  • Ischemia
300

What process contributes to Kussmaul breathing in DKA?

  • Lipolysis
  • Ketone production
  • Metabolic acidosis
  • Increased respiratory rate
300

Which client is most at risk for hypoglycemia?

  • A. A client with type 1 diabetes mellitus who has taken a high dose of insulin
  • B. An older adult client taking an antibiotic for an infection
  • C. A client who has type 2 diabetes and has not taken any medication 
  • D. A client who has metabolic syndrome and is taking a statin drug to lower cholesterol levels


 

A. A client with type 1 diabetes mellitus who has taken a high dose of insulin 

300

In SBAR, where does the nurse report tasks that still need to be completed?

  • Recommendations
  • Remaining tasks
  • Needed interventions
  • Follow-up care
300

A client has a respiratory rate of 40, is pale, cannot walk, and cannot follow commands. What triage color?

  • Red
  • Severe respiratory problem
  • Altered mental status
  • Immediate treatment required
400

What laboratory value is especially important to monitor in an older adult receiving desmopressin for DI?

  • Serum sodium
400

Which client is at greatest risk for HHS?


  • Client with an acute infection
  • Client with type 2 DM
400

A client is shaky, pale, clammy, and tachycardic. What should the nurse do first?

  • Check a fingerstick blood glucose level
  • Assess for hypoglycemia
  • Check the client's glucose immediately
  • Treat hypoglycemia if confirmed
400

A stable client is being cared for when another client reports chest pain. What should the nurse do? 

  • Assess the client reporting chest pain.
  • Ask another nurse to assess the client who reports chest pain.
  • Call for a code blue.
  • Call the client's home for someone to pick up the client.


  • Assess the client reporting chest pain.
400

A client has deep lacerations and fractures but stable circulation. What triage color?

  • Yellow
  • Serious injuries
  • Treatment can be delayed
  • More than minor injuries
500

A client with SIADH has a sodium level of 115 mEq/L. What treatment should the nurse anticipate?

  • 3% sodium chloride
  • Fluid restriction
  • Sodium replacement
500

What should the nurse anticipate when beginning treatment for HHS?

  • Large-bore IV access
  • 0.9% sodium chloride
  • Rapid fluid replacement
  • Close monitoring of blood glucose
500

A client has blurred vision, numb feet, a non-healing wound, and an A1C of 8.1%. What does this indicate?

  • The client's blood sugar has been too high
  • Poor long-term glucose control
  • Increased risk for diabetic complications
  • Elevated average blood glucose
500

Which client should the nurse assess first?

  • A. A client who has left-sided stroke reports severe headache and is manifesting confusion.
  • B. A client who has Graves' disease has a heart rate of 100/min and reports tremors.
  • C. A client who has diabetes insipidus has an intake of 1,500 mL and an output of 1,600 mL in 24 hr.
  • D. A client who has type 2 diabetes mellitus has a blood glucose level of 120 mg/dL (74 – 106 mg/dL)




  • Client with a stroke who has severe headache and confusion
500

An unresponsive client has agonal respirations after a mass casualty incident. What triage color?

  • Black
  • Expected to die
  • Deceased or unlikely to survive
  • Comfort-focused care
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