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?
Potassium chloride 10 mEq/hr
Bicarbonate by IV infusion
Subcutaneous insulin injections
0.9% sodium chloride 15 mL/kg/hr
The Correct Answer is D
Choice A rationale: While potassium replacement is important in diabetic ketoacidosis, fluid resuscitation to restore intravascular volume, improve renal perfusion, and flush out ketones.
Choice B rationale: Bicarbonate infusion might be considered in severe acidosis, but fluid administration is the priority.
Choice C rationale: The priority intervention for a client with diabetic ketoacidosis and very high blood glucose levels is to initiate fluid resuscitation to restore intravascular volume, improve renal perfusion, and flush out ketones.
Choice D rationale: The first intervention the nurse should initiate is fluid resuscitation with 0.9% sodium chloride at a rate of 15 mL/kg/hr to restore intravascular volume, improve renal perfusion, and flush out ketones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Constipation is not a typical adverse effect associated with albuterol use.
Choice B rationale: Fever is not a commonly reported adverse effect of albuterol.
Choice C rationale: Albuterol, a bronchodilator used in asthma, can lead to increased heart rate or tachycardia as a common adverse effect due to its stimulatory effect on beta-receptors.
Choice D rationale: Albuterol is more likely to cause stimulating effects rather than drowsiness.
Correct Answer is B
Explanation
Choice A rationale: There's no direct contraindication regarding dairy products with ranitidine.
Choice B rationale: Ranitidine, an H2 blocker, requires spacing from antacids to prevent decreased absorption, as antacids can reduce its effectiveness.
Choice C rationale: Aspirin may have interactions or adverse effects when taken concurrently with ranitidine.
Choice D rationale: Fine hand tremors are not an expected side effect of ranitidine.
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