Read the Following Health Record Excerpt

question 58

Multiple Choice

Read the following health record excerpt. Emergency Department Course:
Elizabeth arrived in the ED lethargic but responsive. Given her history and vomiting, we were concerned about diabetic ketoacidosis. The patient's finger stick blood sugar test result of 320 confirmed hyperglycemia, and a urinalysis revealed both glucosuria and ketonuria. An IV was started and labs were sent for review. Chemistry profile showed hypernatremia, hypokalemia, and acidemia. The pediatric intensive care team was contacted for patient transfer to the PICU.
Disposition: Transfer to PICU.
According to this excerpt, when Elizabeth arrived at the ED, she was:

• A) A&O x3.
• B) did not look very sick and was able to answer questions and interact with health care professionals.
• C) did not look very sick but acted very sick.
• D) looked sick and was unable to answer questions or interact with health care professionals.
• E) looked sick but was alert.

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Definitions:

Consciousness

The state of being aware of and able to think about one's environment, thoughts, and experiences.

Alpha Waves

Brainwave patterns associated with a relaxed, awake state, typically present during light meditation and the initial stages of sleep.

Delta Waves

Low-frequency brain waves that are typically associated with deep sleep.

Omega

The last letter of the Greek alphabet, often symbolizing the end or last of something.