A nurse is educating a child and their family about DKA management.
What is an essential aspect of patient and family education in DKA care?
"Providing education on insulin therapy.”
"Focusing solely on dietary recommendations.”
"Avoiding discussions about blood glucose monitoring.”
"Neglecting to mention the risk of cerebral edema.”
The Correct Answer is A
Choice A rationale:
Education on insulin therapy is a fundamental aspect of DKA management.
Insulin is a crucial component in treating DKA as it helps lower elevated blood glucose levels and corrects the ketosis and acidosis.
It is essential for the patient and their family to understand how insulin works, how to administer it, and when to administer it.
Proper insulin therapy can prevent further complications and guide the management of DKA.
Choice B rationale:
Focusing solely on dietary recommendations is not appropriate in the initial management of DKA.
While dietary management is important for long-term diabetes care, it is not the primary focus during the acute phase of DKA.
The priority is to address the high blood glucose levels and ketoacidosis, which is best achieved through insulin therapy and fluid resuscitation.
Choice C rationale:
Avoiding discussions about blood glucose monitoring is not recommended.
Blood glucose monitoring is a critical aspect of DKA management.
It helps healthcare providers determine the effectiveness of insulin therapy and the patient's response to treatment.
Avoiding these discussions would be detrimental to the patient's care.
Choice D rationale:
Neglecting to mention the risk of cerebral edema is not appropriate in DKA education.
Cerebral edema is a severe complication of DKA that can be life-threatening.
It is crucial to inform the patient and their family about this risk so they can seek prompt medical attention if symptoms occur.
Neglecting to mention this risk could lead to delayed treatment and potential harm to the patient.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
"A glucose level ≥200 mg/dL two hours after a glucose load confirms the diagnosis.”.
Choice A rationale:
A glucose level ≥100 mg/dL two hours after a glucose load confirms the diagnosis.
This statement is incorrect.
A glucose level of 100 mg/dL two hours after a glucose load is not sufficient to confirm the diagnosis of diabetes.
The diagnostic criteria for diabetes typically involve higher glucose levels.
Choice B rationale:
A glucose level ≥180 mg/dL one hour after a glucose load indicates diabetes.
This statement is incorrect.
While a glucose level of 180 mg/dL one hour after a glucose load may be elevated, it is not enough to confirm a diagnosis of diabetes.
The diagnostic criteria for diabetes primarily involve glucose levels at the two-hour mark.
Choice C rationale:
A glucose level ≥200 mg/dL two hours after a glucose load confirms the diagnosis.
This statement is correct.
The oral glucose tolerance test (OGTT) is a diagnostic test for diabetes, and the ADA diagnostic criteria specify that a glucose level of 200 mg/dL or higher at the two-hour mark after a glucose load confirms the diagnosis of diabetes.
This threshold is used to ensure accurate diagnosis.
Choice D rationale:
A glucose level ≥250 mg/dL one hour after a glucose load suggests uncontrolled diabetes.
This statement is not part of the diagnostic criteria for diabetes.
While a glucose level of 250 mg/dL one hour after a glucose load is elevated, it is not used to confirm the diagnosis of diabetes.
The diagnostic threshold is typically set at the two-hour mark.
Correct Answer is B
Explanation
Hyperglycemia.
Choice A rationale:
Hypoglycemia A blood glucose level of 250 mg/dL is not indicative of hypoglycemia.
Hypoglycemia is defined as low blood glucose levels typically below 70 mg/dL.
In DKA, the primary concern is hyperglycemia, and blood glucose levels are significantly higher than normal.
Choice C rationale:
Normoglycemia A blood glucose level of 250 mg/dL is above the normal range, which typically falls between 70 and 100 mg/dL.
Therefore, it does not indicate normoglycemia.
Hyperglycemia is the characteristic feature of DKA.
Choice D rationale:
Ketonuria While ketonuria is often present in DKA, the finding of a blood glucose level of 250 mg/dL primarily indicates hyperglycemia.
Ketonuria is assessed through urinalysis and relates to the presence of ketones in the urine, which is a common feature of DKA along with hyperglycemia.
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