A nurse in an emergency department is caring for a patient who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
Dextrose 5% in 0,45% sodium chloride IV
Oral hypoglycemic medications
Glucocorticoid medications
0.9% sodium chloride IV
The Correct Answer is D
A. Dextrose 5% in 0.45% sodium chloride IV. – Incorrect. Dextrose is given later, after blood glucose drops below 250 mg/dL to prevent hypoglycemia.
B. Oral hypoglycemic medications. – Incorrect. DKA requires IV insulin, not oral medications.
C. Glucocorticoid medications. – Incorrect. Glucocorticoids can worsen hyperglycemia by increasing blood sugar.
D. 0.9% sodium chloride IV. – Correct Answer. Fluid resuscitation with normal saline is the first priority to correct hypovolemia caused by osmotic diuresis in DKA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 8 hr – Incorrect. RBC transfusions must not exceed 4 hours due to the risk of bacterial growth and hemolysis.
B. 6 hr – Incorrect. Blood products should be infused within a maximum of 4 hours to prevent complications.
C. 4 hr – Correct Answer. The maximum infusion time for packed RBCs is 4 hours to reduce the risk of bacterial contamination and infection.
D. 2 hr – Incorrect. While blood is often infused within 2 hours, the maximum safe limit is 4 hours.
Correct Answer is D
Explanation
A. Chart – Contains patient information but is not used for immediate verification before transfusion.
B. Order sheet – Ensures the transfusion is ordered but does not confirm patient identity.
C. Medication administration record – Lists medications but is not used to verify transfusion identity.
D. Identification wristband – Correct Answer. The wristband is the most accurate and immediate source for patient verification before administering blood products.
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