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 C

Explanation

A. A PaCO₂ of 29 mmHg indicates respiratory alkalosis, which is not typical in HHS.
B. A pH of 7.30 indicates acidosis, more common in diabetic ketoacidosis (DKA), not HHS.
C. A pH of 7.40 is normal, consistent with HHS where severe acidosis is typically absent.
D. HCO₃⁻ of 17 mEq/L indicates metabolic acidosis, which is more characteristic of DKA rather than HHS.

A. Initiate fluid resuscitation. B. Insert an indwelling urinary catheter. C. Medicate for pain. D. Maintain the airway.

Correct Answer is D

Explanation

A. Initiating fluid resuscitation is a vital component of burn management during the resuscitation phase, but it follows airway stabilization in priority.
B. Inserting an indwelling urinary catheter is important for monitoring fluid output and kidney function, but it is not the immediate priority.
C. Pain management is essential in burn care, but it is not the most urgent intervention during the initial phase of care.
D. According to the ABCs of emergency care (Airway, Breathing, Circulation), securing the airway is always the first priority, especially in clients with burns to the chest and upper body where airway edema and inhalation injury are likely.

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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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