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 B
Explanation
Choice B rationale:
Elevating the head of the bed 30 degrees is the most appropriate initial intervention for a child with DKA experiencing cerebral edema.
Cerebral edema is a serious complication of DKA, and it can lead to increased intracranial pressure.
Elevating the head of the bed helps to reduce intracranial pressure by promoting venous drainage from the brain.
This intervention should be initiated promptly to help alleviate the symptoms and prevent further complications.
Administering mannitol (choice A) or oxygen (choice C) can be considered later, but elevating the head of the bed is the priority.
Monitoring vital signs (choice D) is important but not the first action in addressing elevated intracranial pressure.
Correct Answer is B
Explanation
Choice A rationale:
"This hunger is a normal part of growing up.”.
This response is not appropriate.
Increased hunger in a child with diabetes is not a normal part of growing up.
It is essential to provide accurate information and address the child's concerns.
Choice B rationale:
"Increased hunger is a result of the body's inability to utilize glucose properly.”.
This is The correct response.
Increased hunger in diabetes is often due to the body's inability to use glucose properly.
When insulin is deficient or not functioning effectively, the cells cannot take up glucose for energy, leading to increased hunger.
Providing this information helps the child understand the physiological basis of their hunger.
Choice C rationale:
"You should eat smaller, more frequent meals to control your hunger.”.
While this advice can be helpful for managing blood sugar levels in diabetes, it doesn't address the cause of increased hunger.
It is essential to explain the underlying reasons for the symptom.
Choice D rationale:
"This is a side effect of the medication you're taking.”.
This response is not accurate.
Increased hunger in diabetes is primarily related to glucose metabolism and insulin deficiency, not a medication side effect.
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