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.

Answer and Explanation

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

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Free Nursing Study Resources

Correct Answer is ["31"]

Explanation

Step 1 is: Convert hours to minutes: 8 hours × 60 minutes/hour = 480 minutes.

Step 2 is: Calculate the drops/minute: (1000 mL ÷ 480 minutes) × 15 gtts/mL.

Step 3 is: Perform the division: 1000 mL ÷ 480 minutes ≈ 2.0833 mL/min.

Step 4 is: Perform the multiplication: 2.0833 mL/min × 15 gtts/mL ≈ 31.25 drops/min.

Step 5 is: Round the answer to the nearest whole number: 31 drops/min.

Final calculated answer: 31 drops/min.

A. Encourage the patient to bear weight on the residual limb to promote early ambulation. B. Apply a tight compression bandage to the residual limb to promote circulation. C. Assess the residual limb for signs of hemorrhage or poor circulation. D. Remove the prosthetic limb and keep the residual limb uncovered to allow for air exposure.

Correct Answer is C

Explanation

Choice A rationale

Encouraging the patient to bear weight on the residual limb immediately after surgery is not recommended due to the risk of injury and poor healing.

Choice B rationale

Applying a tight compression bandage can help with circulation, but assessing for complications takes precedence immediately after surgery.

Choice C rationale

Assessing the residual limb for signs of hemorrhage or poor circulation is crucial to identify any post-surgical complications early.

Choice D rationale

Keeping the residual limb uncovered might be necessary in some cases, but initial assessment and monitoring are more important immediately after surgery. .

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A client with diabetic ketoacidosis (DK

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["31"]

Explanation

A patient undergoes left above-the-knee amputation with an immediate prosthetic fitting.When the patient arrives on the orthopedic unit after surgery, which action should the nurse take?

Correct Answer is C

Explanation

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A client with diabetic ketoacidosis (DK

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