CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A ten-year-old patient is admitted with a diagnosis of diabetic ketoacidosis. He is receiving intravenous fluids and insulin. The patient has complaints of tingling and numbness of the fingers and toes and shortness of breath. The nurse looks at the cardiac monitor and notes a U wave. The clinical nurse specialist should recognize that these indicate:

Hypercalcemia
Hypoglycemia
Hypernatremia
Hypokalemia

Explanation

Answer - D - The nurse should recognize that the symptoms are indicative of hypokalemia. These classic signs occur when potassium levels are reduced as potassium re-enters cells with glucose.

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