A nurse is reviewing the medical record for a client who is to begin therapy for DKA. Which of the following prescriptions should the nurse expect?

Rapidly administer an IV infusion of 0.9% sodium chloride

Administer an IV infusion of Insulin Glargine at 3 units/kg/hr

Add glucose to the IV infusion when blood glucose is 350 mg/dL

Administer a slow IV infusion of 3% sodium chloride

Answer and Explanation

The Correct Answer is A

A.   Patients with DKA are severely dehydrated due to osmotic diuresis caused by hyperglycemia. Rapid fluid resuscitation with normal saline (0.9% sodium chloride) is crucial to correct fluid and electrolyte imbalances.
B.   Insulin Glargine is a long-acting insulin not suitable for acute management of DKA. Rapid-acting insulin, such as regular insulin, is used in an IV infusion.
C.   Glucose is not added to the IV infusion during the initial phase of DKA treatment. The focus is on correcting fluid and electrolyte imbalances and lowering blood glucose with insulin.
D.   3% sodium chloride is a hypertonic solution used in specific circumstances, not for initial fluid resuscitation in DKA.

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Correct Answer is D

Explanation

A. Prednisone does not require fluid restriction.
B. Black, tarry stools are a sign of gastrointestinal bleeding, not a common side effect of prednisone.
C. This is not a strict requirement for prednisone, although it can help prevent stomach upset.
D. Weight gain is a common side effect of prednisone due to increased appetite and fluid retention.

A. It tells us your average blood Sugar levels over the last 4 months B. It tells us if your pancreas is producing the hormone insulin C. It tells us your blood sugar levels without regard to your last food intake D. It tells us how much sugar you have been eating over the last few months

Correct Answer is A

Explanation

A. The Hgb A1c test provides a snapshot of your average blood sugar levels over the past 2-3 months.
B. The Hgb A1c test does not measure insulin production. It measures the amount of glucose attached to hemoglobin in red blood cells.
C. While the Hgb A1c test is not affected by recent food intake, it doesn't provide a snapshot of your current blood sugar level. It reflects an average over several months.
D. The Hgb A1c test measures blood sugar levels, not directly sugar intake. While diet affects blood sugar, the test does not isolate sugar consumption.

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A nurse is reviewing the medical record for a client who is to begin therapy for DKA. Which of the following prescriptions should the nurse expect?

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A nurse is reviewing the medical record for a client who is to begin therapy for DKA. Which of the following prescriptions should the nurse expect?