A 70-year-old female patient was admitted to a surgical ward with a diagnosis of septic arthritis. The nurse has done detail musculoskeletal examination. What is the most likely local finding the nurse could get during assessment? a. Cold swollen joint b. Decreased lymphocyte count c. Symmetrical joint tenderness d. Decreased range of motion A known Type-I diabetes mellitus patient came to an emergency department with diabetic ketoacidosis. On laboratory examination, patient's serum potassium level is 5.9mEq/L (normal range 3.5-5.5mEq/L) and serum sodium level is 119mEq/L (normal range 135-145mEq/L) What is the most appropriate initial management for this patient? a. Administer lente insulin b. Administer ringer lactate c. Administer normal saline d. Infuse regular insulin

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A 70-year-old female patient was admitted to a surgical ward with a diagnosis of septic arthritis. The nurse has done detail musculoskeletal examination. What is the most likely local finding the nurse could get during assessment? a. Cold swollen joint b. Decreased lymphocyte count c. Symmetrical joint tenderness d. Decreased range of motion A known Type-I diabetes mellitus patient came to an emergency department with diabetic ketoacidosis. On laboratory examination, patient's serum potassium level is 5.9mEq/L (normal range 3.5-5.5mEq/L) and serum sodium level is 119mEq/L (normal range 135-145mEq/L) What is the most appropriate initial management for this patient? a. Administer lente insulin b. Administer ringer lactate c. Administer normal saline d. Infuse regular insulin

Answer 1

1. The most likely local finding the nurse could get during assessment in a 70-year-old female patient with septic arthritis is:a. Cold swollen jointSeptic arthritis, also known as infectious arthritis, is an infection in a joint. It can cause severe pain and swelling in the affected joint. The joint may also feel warm and appear red or swollen. In the early stages, the joint may be swollen and warm to the touch, and the patient may experience pain and stiffness in the joint.2. The most appropriate initial management for a known Type-I diabetes mellitus patient with diabetic ketoacidosis (DKA) and serum potassium level of

and serum sodium level of

is:b. Administer ringer lactateDKA is a serious complication of diabetes that occurs when the body produces high levels of blood acids called ketones. In DKA, the body produces excess ketones, which make the blood more acidic. This can lead to a variety of symptoms, including nausea, vomiting, abdominal pain, and a fruity-smelling breath. In severe cases, DKA can lead to a coma or even death.Ringer lactate is a type of intravenous fluid that can help to correct the electrolyte imbalance and acidosis seen in DKA. It contains sodium, potassium, and lactate, which can help to restore the body's electrolyte balance and correct the acidosis. Administering regular insulin and normal saline may also be part of the treatment plan, but the initial management should focus on correcting the electrolyte imbalance and acidosis.

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