Asked by Mayur Dande on Jun 06, 2024

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The nurse is caring for a dehydrated,confused patient whose breath smells like fruity bubble gum.What is the priority action of the nurse based on these assessment findings?

A) Check the patient's pulse oximetry.
B) Check the patient's oral mucosa for thrush.
C) Check the patient's blood sugar.
D) Check the patient's sclerae for jaundice.

Fruity Breath

A sweet, acetone-like odor of the breath that may indicate high levels of ketones in the body, often associated with diabetes.

Blood Sugar

The concentration of glucose present in the blood, an important energy source for the body's cells.

Dehydrated

The state of excessive loss of body water that interrupts normal metabolic processes, requiring replenishment of fluids.

  • Familiarize oneself with the physiological mechanisms and clinical value of select vital signs and symptoms, including pupil size and breath odor, in the assessment of patient conditions.
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PK
PALLAVI KAMBLEJun 11, 2024
Final Answer :
C
Explanation :
Confusion and dehydration with fruity breath is indicative of diabetic ketoacidosis.The nurse should check the patient's blood sugar immediately.Pulse oximetry,oral assessment for thrush,and checking for jaundice will not facilitate assessment and treatment of diabetic ketoacidosis.