An 8-year-old patient with type 1 diabetes mellitus is broug…

An 8-year-old patient with type 1 diabetes mellitus is brought into the emergency department with a serum glucose level of 306 mg/dL.  The nurse suspects the client is experiencing diabetic ketoacidosis (DKA).  The nurse is providing education to the family regarding the clinical manifestations of DKA.  Follow-up is required if the nurse states that clinical manifestation of DKA include: