You are the primary RN caring for patient in Diabetic Ketoacidosis (DKA). Which of the following symptoms would you expect to see in this patient?

A. Kussmaul’s respirations are correct because DKA causes metabolic acidosis due to the accumulation of ketone bodies. The body compensates by increasing the depth and rate of respirations to blow off carbon dioxide, resulting in deep, rapid breathing known as Kussmaul respirations. B. Dysuria is incorrect because painful or difficult urination is not a characteristic symptom of DKA. While patients may have polyuria due to osmotic diuresis from hyperglycemia, dysuria is more suggestive of a urinary tract infection. C. “Fruity” breath is correct because acetone, a byproduct of ketone metabolism, is exhaled through the lungs. This gives the breath a sweet or fruity odor and is a classic finding in patients with DKA. D. Ketonuria is correct because insulin deficiency leads to fat breakdown and ketone production. Excess ketones are excreted in the urine, making ketonuria a key diagnostic and expected finding in DKA. E. Glucose levels below 100 are incorrect because DKA is characterized by significant hyperglycemia, typically with blood glucose levels well above normal, often greater than 250 mg/dL.