Question

A client received six units of regular insulin 3 hours ago. The nurse is MOST concerned if which of the following is observed?

1) Kussmaul respirations and diaphoresis
2) Anorexia and lethargy
3) Diaphoresis and trembling
4) Headache and polyuria

Answer 1

The nurse would be most concerned if the client is observed to have Kussmaul respirations and diaphoresis. These symptoms indicate potential metabolic disturbances and require immediate medical attention.

Step-by-step explanation:

The nurse would be most concerned if the client is observed to have Kussmaul respirations and diaphoresis. Kussmaul respirations are deep and rapid breaths that are typically seen in diabetic ketoacidosis, a serious complication of diabetes. Diaphoresis, or excessive sweating, can also be a sign of hypoglycemia or low blood sugar. These symptoms indicate potential metabolic disturbances and require immediate medical attention.