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. Antibiotics are used to treat bacterial infections, not respiratory conditions like asthma.
B. Antivirals are used to treat viral infections, not respiratory conditions like asthma.
C. Beta-blockers can worsen asthma symptoms by constricting the airways. They would be contraindicated in this situation.
D. Beta2 adrenergic agonists are bronchodilators, which relax the muscles in the airways and make it easier to breathe. They are the first-line treatment for acute asthma attacks.

A. Excessive hunger B. Increased thirst C. Sweaty skin D. Increased urine production

Correct Answer is ["B","D"]

Explanation

A. Excessive hunger is more commonly associated with hypoglycemia (low blood sugar), not hyperglycemia.
B. When blood sugar levels are high, the kidneys work overtime to filter out the excess glucose, leading to increased urination and dehydration. This causes increased thirst.
C. Sweaty skin is more often associated with hypoglycemia or other conditions like anxiety.
D. As mentioned above, the kidneys work harder to eliminate excess glucose, leading to increased urine production.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is ["B","D"]

Explanation

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