A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse?

Administer 0.9% sodium chloride.

Initiate a continuous IV insulin infusion.

Begin bicarbonate continuous IV infusion.

Check potassium levels.

Answer and Explanation

The Correct Answer is B

The priority intervention for a client in DKA is to initiate a continuous IV insulin infusion to lower the blood glucose level and reverse the ketosis. Insulin also helps to correct the electrolyte imbalance and acid-base imbalance in DKA.

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Correct Answer is B

Explanation

The client should expect less than 25 mL of secretions per day in the drainage devices before they are removed, usually within 7 to 10 days after surgery. This indicates that the wound is healing and there is no excessive fluid accumulation in the surgical site. The other statements are incorrect and indicate a need for further teaching. The client should not wait 2 months before additional saline can be added to the breast expander, as this may delay the reconstruction process and increase the risk of infection or contracture.

The client should keep the left arm elevated on a pillow and avoid flexing it at the elbow, as this may impair lymphatic drainage and cause edema or pain. The client should perform gentle range-of-motion exercises with the left arm and avoid lifting heavy objects such as a 15-pound weight, as this may strain the incision or cause bleeding.

A. Bradycardia B. Headache C. Heat intolerance D. Flushed skin color

Correct Answer is B

Explanation

Anemia is a condition characterized by a decrease in hemoglobin level or red blood cell count, resulting in reduced oxygen-carrying capacity of the blood. This can cause various symptoms such as fatigue, weakness, pallor, dyspnea, tachycardia, and headache.

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A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse?

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Naxlex Comprehensive Predictor Exams

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Explanation

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