A client with DKA is receiving insulin therapy.
How is insulin typically administered in DKA management?
"Insulin is typically administered intravenously.”..
"Insulin should be given as a single, large dose.”..
"Oral insulin is preferred for children with DKA.”..
"Insulin injections are given subcutaneously.”..
The Correct Answer is A
Choice A rationale:
In DKA management, insulin is typically administered intravenously as a continuous infusion.
This approach allows for precise control of insulin delivery, making it possible to titrate the insulin dose according to the patient's response.
Intravenous insulin is preferred because it provides rapid onset and offset of action and can be adjusted as needed to address changes in the patient's condition.
Choice B rationale:
Administering insulin as a single, large dose is not the standard practice in DKA management.
Large bolus doses of insulin can lead to rapid reductions in blood glucose levels, potentially causing hypoglycemia.
Continuous intravenous infusions are favored for gradual correction of hyperglycemia while avoiding rapid fluctuations in blood glucose levels.
Choice C rationale:
Oral insulin is not preferred for the treatment of DKA.
In this acute condition, the absorption of oral medications can be unpredictable and slow, which may not provide the rapid and consistent control of blood glucose levels required in DKA management.
Choice D rationale:
Insulin injections are typically given subcutaneously for routine diabetes management, but in the case of DKA, intravenous administration is the preferred route.
Subcutaneous injections have a slower onset of action and may not be suitable for addressing the acute and severe hyperglycemia characteristic of DKA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
"We'll administer 0.9% saline to restore intravascular volume.”.
Choice A rationale:
The statement "We'll administer 0.9% saline to restore intravascular volume" is correct.
In the management of DKA, fluid resuscitation is a crucial initial step to restore intravascular volume.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale:
Teaching parents how to monitor the child's blood glucose levels at home is essential in the discharge plan for a child with DKA.
It empowers parents to manage their child's condition and ensure that blood glucose levels are within a safe range.
Home monitoring is crucial for preventing recurrence and managing diabetes effectively.
Choice B rationale:
Instructing parents on how to give the child insulin injections is another critical aspect of the discharge plan.
Children with DKA often require insulin therapy to manage their blood glucose levels.
Proper administration of insulin is essential to prevent hyperglycemia and DKA recurrence.
Choice C rationale:
Educating parents on what to do if the child develops symptoms of DKA, such as abdominal pain, nausea, and vomiting, is important.
Recognizing the early signs of DKA and seeking medical attention promptly is crucial to prevent the condition from worsening.
Teaching parents to be vigilant for these symptoms can help prevent DKA recurrence.
Choice D rationale:
Preventing the child from developing DKA again in the future is a crucial part of the discharge plan.
While this is a broad goal, it can encompass education on various aspects, such as the importance of insulin compliance, regular medical check-ups, and diabetes management strategies.
Preventing recurrence is a primary objective of DKA management.
Choice E rationale:
Providing information on how to contact the child's healthcare provider if parents have any questions or concerns is essential.
Open communication with healthcare providers is vital for ongoing support, guidance, and adjustments to the child's diabetes management plan.
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