A client with diabetic ketoacidosis (DK
Measure the client's blood pressure manually.
Administer intravenous fluids.
Place the client on oxygen therapy.
Administer subcutaneous insulin.
The Correct Answer is B
Choice A rationale
Measuring blood pressure manually is important in assessing the patient's hemodynamic status, but it is not the priority intervention in diabetic ketoacidosis (DKA). The priority is to address dehydration and electrolyte imbalances.
Choice B rationale
Administering intravenous fluids is the priority intervention for a client with DKA. Rapid, deep respirations (Kussmaul breathing) indicate severe metabolic acidosis and dehydration. IV fluids help to correct fluid deficit, improve perfusion, and decrease blood glucose levels.
Choice C rationale
Oxygen therapy may be beneficial if the client is hypoxic, but it is not the priority intervention for DKA. The primary issue is fluid deficit and metabolic acidosis.
Choice D rationale
Administering subcutaneous insulin is essential for managing hyperglycemia in DKA, but it should be done after initiating IV fluids to avoid rapid shifts in electrolyte balance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Checking the blood pressure is not the priority action in this case. The symptoms described may suggest compartment syndrome, which is a medical emergency and requires immediate intervention.
Choice B rationale
The correct action is to notify the health care provider immediately as this may indicate compartment syndrome, a serious complication that can occur after fractures and can lead to permanent damage if not treated promptly.
Choice C rationale
Assessing the incision for redness is not appropriate in this scenario as the symptoms suggest a more severe underlying issue such as compartment syndrome, which requires urgent attention.
Choice D rationale
Repositioning the leg may provide temporary relief but does not address the potential underlying issue of compartment syndrome. The priority is to notify the health care provider.
Correct Answer is A
Explanation
Choice A rationale
Abdominal pain and cramping are hallmark symptoms of Crohn's disease due to inflammation in the gastrointestinal tract.
Choice B rationale
Weight loss, rather than weight gain, is typically associated with Crohn's disease due to malabsorption and chronic inflammation.
Choice C rationale
Jaundice is not commonly associated with Crohn's disease; it is more related to liver or gallbladder issues.
Choice D rationale
Hypertension is not a common symptom of Crohn's disease. It is generally associated with other conditions such as cardiovascular disease.
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