The nurse is assigned to an adolescent who is admitted with out-of-control diabetes. There are high levels of ketones in the urine. The child has Kussmaul's respirations and is confused and somewhat lethargic. The nurse knows that this child is in:

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The child is exhibiting signs of diabetic ketoacidosis (DKA), a condition characterized by high levels of ketones in the urine, Kussmaul's respirations (deep, rapid breathing), confusion, and lethargy. These symptoms indicate metabolic acidosis, where the body produces excess acid (ketones) or the kidneys are not removing enough acid from the body.

The Nurse Is Assigned to an Adolescent Who Is Admitted