A patient is admitted with severe hyperglycemia.The patient is very lethargic and has a "fruity" odor to his breath.The nurse knows the odor on the patient's breath is indicative of which situation?

Question

Quizplus · Accepted Answer

Acid ketones dissociate and yield hydrogen ions (H⁺)that accumulate and precipitate a decrease in serum pH.The level of serum bicarbonate also decreases,consistent with a diagnosis of metabolic acidosis.Breathing becomes deep and rapid (Kussmaul respirations)to release carbonic acid in the form of carbon dioxide.Acetone is exhaled,giving the breath its characteristic "fruity" odor.

A Patient Is Admitted with Severe Hyperglycemia