A nurse is educating a patient and their family about DKA.
What should the nurse emphasize regarding DKA prevention?
The importance of avoiding insulin at all costs.
The need for frequent monitoring of blood glucose levels.
The significance of consuming a high-carbohydrate diet.
The importance of avoiding follow-up appointments.
The Correct Answer is B
Choice A rationale:
Insulin is a crucial part of managing diabetes, especially in the case of diabetic ketoacidosis (DKA).
It helps lower blood sugar levels and counteracts the effects of high blood glucose, which is characteristic of DKA.
Avoiding insulin at all costs is not an appropriate approach as it can lead to worsening of DKA.
Choice B rationale:
The nurse should emphasize the need for frequent monitoring of blood glucose levels.
This is because DKA is associated with significantly elevated blood glucose levels.
Regular monitoring allows for timely adjustments in insulin and other treatments, reducing the risk of complications.
Monitoring blood glucose levels is a fundamental aspect of diabetes management.
Choice C rationale:
Consuming a high-carbohydrate diet is not advisable in the context of DKA prevention.
High-carbohydrate diets can lead to elevated blood sugar levels, which may exacerbate the risk of DKA.
It's essential to maintain a balanced and controlled carbohydrate intake for individuals with diabetes.
Choice D rationale:
Avoiding follow-up appointments is not a suitable approach for DKA prevention.
Regular follow-up appointments with healthcare providers are essential for monitoring and adjusting the diabetes management plan.
Skipping follow-up appointments can lead to uncontrolled blood sugar levels and an increased risk of DKA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
All of these.
Choice A rationale:
Correcting fluid and electrolyte imbalances is an essential part of the care plan for a child with DKA.
This is because DKA often leads to severe dehydration and electrolyte imbalances due to excessive urination.
Restoring fluid and electrolyte balance is crucial to stabilize the patient's condition.
Choice B rationale:
Reducing hyperglycemia is a critical goal in the care of a child with DKA.
Elevated blood glucose levels are a hallmark of DKA, and addressing hyperglycemia is achieved through insulin therapy.
Reducing hyperglycemia helps to stop the production of ketones and normalize metabolic processes.
Choice C rationale:
Preventing complications is an important aspect of managing DKA.
Complications such as cerebral edema and organ dysfunction can occur if DKA is not promptly and effectively treated.
Therefore, monitoring for and taking steps to prevent complications is a fundamental component of the care plan.
Choice D rationale:
The correct answer is "All of these" because the care plan for a child with DKA includes interventions that address fluid and electrolyte imbalances, hyperglycemia, and complications.
These interventions work together to stabilize the patient's condition and prevent further deterioration.
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