A nurse is conducting a preoperative assessment on a 22-year… | 마이메르시 MyMerci
Adult Health
문제

A nurse is conducting a preoperative assessment on a 22-year-old client with type 1 diabetes mellitus scheduled for an orthopedic surgery this morning. Which assessment finding is the most critical priority for the nurse to report to the surgeon immediately?

해설
The presence of ketones in urine combined with significantly elevated blood glucose indicates diabetic ketoacidosis (DKA), a life-threatening condition that requires immediate intervention and would contraindicate elective surgery.

심화 해설

Core Nursing Explanation Key Concept Analysis: This question assesses the nurse's ability to recognize and prioritize a life-threatening complication in a patient with Type 1 Diabetes Mellitus (T1DM). The core theme is preoperative safety. Before any elective surgery, the patient must be in a stable metabolic state. The combination of hyperglycemia and ketonuria is a hallmark of Diabetic Ketoacidosis (DKA), a medical emergency that can lead to severe acidosis, electrolyte imbalances, and shock. Proceeding with surgery in this state is extremely dangerous.

Answer Rationale: Key Point! Option ③ is correct because it presents two critical, interrelated findings: Blood glucose of 350 mg/dL (19.4 mmol/L) and ketones in urine. In T1DM, a severe insulin deficiency prevents glucose from entering cells, leading to hyperglycemia. The body then breaks down fat for energy, producing acidic ketone bodies. This combination signals impending or active DKA, which requires immediate correction with IV fluids, insulin, and electrolyte replacement before any non-emergency surgery can be considered.

Distractor Analysis:
Watch out for confusion! Option ①: A blood glucose of 180 mg/dL (10.0 mmol/L) is elevated but is a common perioperative target. It requires management (e.g., an insulin sliding scale) but is not an immediate surgical contraindication.
Option ②: An Hemoglobin A1C (HbA1c) of 8.5% indicates poor long-term glycemic control over the past 2-3 months. While this is important for planning postoperative care and predicting healing risks, it is not an acute, life-threatening finding that would cancel surgery today.
Option ④: A blood pressure of 150/90 mmHg is classified as Stage 1 hypertension. It should be noted and may require evaluation, but like the HbA1c, it is not an immediate contraindication to surgery in an otherwise stable 22-year-old.

Related Concepts: The nurse's role in preoperative assessment is to identify risks that could lead to intraoperative or postoperative complications. DKA is a top-priority finding because it destabilizes the entire physiological system (fluid, electrolyte, acid-base balance). The NCLEX often tests the ability to distinguish between chronic management issues (HbA1c) and acute, life-threatening emergencies (DKA). Concept Summary
ConceptDescriptionClinical Implication
Diabetic Ketoacidosis (DKA)Acute complication of insulin deficiency. Characterized by hyperglycemia, ketosis, and metabolic acidosis.Medical emergency. Contraindicates elective surgery. Requires IV fluids, insulin, electrolyte replacement.
Preoperative AssessmentSystematic evaluation to ensure patient safety and identify risks before surgery.The nurse must identify and report conditions that increase surgical risk, like DKA, unstable vital signs, or electrolyte imbalances.
Hyperglycemia ManagementControlling elevated blood glucose levels.Mild-moderate hyperglycemia is managed perioperatively; severe hyperglycemia with ketosis is an emergency.
Hemoglobin A1C (HbA1c)Lab value reflecting average blood glucose over ~3 months.Indicates long-term control. High value predicts higher risk for infection/poor healing but is not an acute finding.
Side-by-Side Comparison!
FindingAcute/Emergency?Action PriorityReason
Ketones + BG >250 mg/dLYES - EmergencyImmediate report, delay/cancel surgeryIndicates DKA, a life-threatening metabolic acidosis.
BG 180 mg/dL aloneNo - Common findingAdminister insulin per protocol, monitorExpected stress response; requires management but not an emergency.
High HbA1c (8.5%)No - Chronic findingDocument, plan for vigilant post-op careIndicates long-term poor control, increasing risk for complications.
Anatomy, Physiology & Pharmacology Points
  • Pathophysiology: In T1DM, lack of insulin causes hyperglycemia (glucose can't enter cells) and triggers lipolysis. Fatty acid breakdown in the liver produces ketone bodies (acetoacetate, beta-hydroxybutyrate), leading to metabolic acidosis.
  • Lab Values: DKA is confirmed by blood glucose >250 mg/dL, arterial pH < 7.3, serum bicarbonate < 18 mEq/L, and presence of ketones in blood/urine.
  • Pharmacology: DKA treatment involves IV regular insulin infusion to lower glucose and stop ketogenesis, and IV 0.9% NaCl to correct dehydration.
Memory Tips
  • DKA Triad: Remember "High glucose, Ketones, Acidosis" (HKA). If you see two, suspect the third.
  • Priority Rule: In a diabetic patient, "Ketones + High Sugar = Stop and Report" before any elective procedure.
  • HbA1c vs. BG: HbA1c is the "3-month report card"; Blood Glucose is the "right now snapshot." Emergencies are about the snapshot.
High-Frequency NCLEX Topics This integrates several high-yield NCLEX areas: prioritization (ABCs, stability vs. instability), endocrine emergencies (DKA), and perioperative nursing care. You will often be asked to identify the "most critical" or "priority" finding that requires immediate action or reporting. Watch Out for Question Variations!
  • Instead of "report to the surgeon," it could ask: "Which finding requires immediate nursing intervention?" or "Which finding contraindicates proceeding to the operating room?" The answer logic remains the same.
  • The scenario could shift to Hyperosmolar Hyperglycemic State (HHS) in Type 2 DM, characterized by extreme hyperglycemia (e.g., >600 mg/dL) without significant ketosis. Know the difference!

임상 시나리오

Nursing Clinical Practice Guide Clinical Scenario: You are the pre-op nurse. Your patient, a young adult with T1DM, is anxious for their knee surgery. During your assessment, you check their point-of-care blood glucose and a routine urine dipstick. The meter reads "HI" (or 350 mg/dL), and the urine strip shows "large" ketones. The patient mentions feeling more thirsty and tired than usual over the past day.

Nursing Intervention Strategy:
  1. Immediate Assessment: Check vital signs (tachycardia, hypotension, Kussmaul respirations?).
  2. Immediate Action: Do not send the patient to the OR. Inform the surgeon and the anesthesia team immediately. This is a "stop-the-line" safety event.
  3. Collaborative Care: Anticipate orders for STAT labs (venous blood gas, electrolytes, ketones), initiation of IV access for fluid resuscitation, and an insulin drip protocol.
  4. Patient Communication: Explain to the patient and family that surgery must be postponed to treat a serious diabetes-related condition, ensuring they understand it's for their safety.

Patient Safety and Precautions: Never assume hyperglycemia alone is just "stress." Always check for ketones when glucose is significantly elevated in a T1DM patient. Proceeding with anesthesia and surgery in DKA can lead to cardiovascular collapse, severe arrhythmias (from potassium shifts), and death. Nursing Procedure & Medication Flow
  • Assessment Flow: For any diabetic patient pre-op: Review history → Check current BG → If BG >250 mg/dL (or per protocol), check urine/blood ketones → Assess for symptoms (polyuria, polydipsia, nausea, abdominal pain, fruity breath).
  • Medication Alert: If DKA is suspected, hold all subcutaneous diabetes medications. Treatment shifts to IV insulin infusion, which allows for precise, titratable control. Monitor potassium levels closely, as insulin drives potassium into cells, causing hypokalemia.

A Word from Your Senior Nurse "Trust your assessment findings and don't be afraid to speak up. In this scenario, you are the last safety checkpoint before the patient goes to the OR. Finding ketones is a huge red flag. Your quick recognition and report can literally save a life by preventing a catastrophic intraoperative event. On the NCLEX and in practice, thinking 'what is the worst possible outcome if I ignore this?' helps prioritize. For this patient, ignoring ketones could mean DKA progressing to coma. Always err on the side of patient safety!"

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