A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL.
Which of the following interventions should the nurse initiate first?
Subcutaneous insulin injections.
Bicarbonate by IV infusion.
0.9% sodium chloride 15 m/kg/hr.
Potassium chloride 10 mEq/hr.
The Correct Answer is C
The first intervention for a client with diabetic ketoacidosis and a blood glucose level of 800 mg/dL should be to initiate fluid replacement therapy with 0.9% sodium chloride at a rate of 15 mL/kg/hr.
This will help to replace fluids lost through excessive urination and to dilute the excess sugar in the blood.
Choice A is wrong because subcutaneous insulin injections are not the first intervention for diabetic ketoacidosis.
Insulin therapy is generally given intravenously.
Choice B is wrong because bicarbonate by IV infusion is not the first intervention for diabetic ketoacidosis.
Choice D is wrong because potassium chloride at a rate of 10 mEq/hr is not the first intervention for diabetic ketoacidosis.
Electrolyte replacement may be necessary to replace minerals such as sodium, potassium, and chloride, but this is not the first intervention 2.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should withhold the dose of propranolol and notify the provider.
Using propranolol together with albuterol may reduce the benefits of both medications, since they have opposing effects in the body.
In addition, propranolol can sometimes cause narrowing of the airways, which may worsen breathing problems or trigger severe asthmatic attacks.
Choice B is wrong because there is no known interaction between albuterol and isosorbide mononitrate.
Choice C is wrong because there is no known interaction between albuterol and pantoprazole.
Choice D is wrong because there is no known interaction between albuterol and montelukast.
Correct Answer is A
Explanation
Sodium polystyrene sulfonate is a medication used to treat high levels of potassium in the blood.
A potassium level of 4.6 mEq/L is within the normal range, indicating that the medication has been effective in reducing high levels of potassium in the blood.
Choice B is wrong because Calcium 8 mg/dL, is not the correct answer because it measures the level of calcium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.
Choice C is wrong because Magnesium.1 mEq/L, is not the correct answer because it measures the level of magnesium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.
Choice D is wrong because Sodium 150 mEq/L, is not the correct answer because it measures the level of sodium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.
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