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 D

Explanation

A. Bilateral weakness may occur depending on the injury location but is not a primary or early sign of increased intracranial pressure (ICP).
B. Hypotension is generally not associated with increased ICP; instead, hypertension is more common as part of Cushing’s response.
C. Tachypnea is not a typical manifestation of increased ICP; irregular or decreased respirations are more common.
D. Changes in consciousness, such as lethargy, confusion, or coma, are key early indicators of increased ICP due to pressure on brain structures and impaired cerebral perfusion

A. Fluid resuscitation B. Fluid restriction C. Administer desmopressin D. Sodium restriction

Correct Answer is B

Explanation

A. Fluid resuscitation is not appropriate for SIADH, where the issue is fluid retention, not loss.
B. Fluid restriction. SIADH causes excess release of antidiuretic hormone, leading to water retention and dilutional hyponatremia. Restricting fluids helps to correct the sodium imbalance.
C. Desmopressin is an ADH analog and is used in diabetes insipidus, not SIADH.
D. Sodium restriction would worsen hyponatremia in SIADH and is contraindicated.

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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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Explanation

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Correct Answer is B

Explanation

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