A nurse caring for a client with diabetic ketoacidosis (DKA) has initiated the treatment plan. Which of the following electrolyte imbalance will the nurse be monitoring closely for this client?

Hypocalcemia

Hyponatremia

Hypokalemia

Hypomagnesemia

Answer and Explanation

The Correct Answer is C

A. Hypocalcemia is not a primary concern in DKA treatment.
B. Hyponatremia can occur but is less immediately critical than potassium imbalance.
C. During treatment of DKA, insulin administration drives potassium into cells, potentially causing dangerous hypokalemia, so close monitoring of potassium levels is essential.
D. Hypomagnesemia is less common and not the primary focus during DKA management.

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Correct Answer is A

Explanation

A. In the compensatory stage of shock, blood pressure is usually maintained within normal limits due to vasoconstriction and increased cardiac output.
B. A heart rate of 160/min is excessively high and more typical of the progressive stage of shock.
C. Hypokalemia is not a typical finding specific to the compensatory stage of shock.
D. Mottled skin usually occurs in the later stages of shock due to poor perfusion, not during compensation.

A. Assess ventilator settings every 48 hours. B. Position the head of the client's bed in the flat position. C. Brush the client's teeth with a suction toothbrush routinely and as needed. D. Turn the client every 8 hours.

Correct Answer is C

Explanation

A. Ventilator settings should be assessed frequently, not just every 48 hours.
B. The head of the bed should be elevated (30–45 degrees), not flat, to reduce aspiration risk.
C. Maintaining oral hygiene reduces the risk of ventilator-associated pneumonia by minimizing bacterial colonization.
D. Turning the client more frequently than every 8 hours (typically every 2 hours) is standard to prevent complications but is less directly related to preventing ventilator-associated pneumonia compared to oral care.

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A nurse caring for a client with diabetic ketoacidosis (DKA) has initiated the treatment plan. Which of the following electrolyte imbalance will the nurse be monitoring closely for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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