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A patient with diabetes is admitted with symptoms of diabetic ketoacidosis (DKA). Which type of insulin IV should a nurse expect to administer?

Regular

Lantus

Intermediate-and short-acting mix

NPH

Answer and Explanation

The Correct Answer is A

A. Regular insulin is the only insulin type that can be administered intravenously and is used in DKA treatment.

B. Lantus (glargine) is a long-acting insulin and is not used in acute situations.

C. Mixed insulins (intermediate and short-acting) are not appropriate for IV administration.

D. NPH is an intermediate-acting insulin and is not suitable for IV use.

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Correct Answer is D

Explanation

A. Incorrect. Never insert anything into a seizing patient's mouth, as it can cause injury.

B. Incorrect. The bed should be in the lowest position to prevent falls.

C. Incorrect. Keeping lights on is unnecessary and can cause sensory overstimulation.

D. Correct. IV access is important in case emergency medications (e.g., lorazepam) are needed during a seizure.

A. Hct 45% B. Hgb 14.7 g/dL C. WBC 1,700/mm3 D. Platelets 160,000/mm3

Correct Answer is C

Explanation

A. Hct 45%. – Normal range for hematocrit (Hct) is 38-50%. No need to report.

B. Hgb 14.7 g/dL. – Normal range for hemoglobin (Hgb) is 13-17 g/dL. No need to report.

C. WBC 1,700/mm³. – Correct Answer. Normal WBC count is 4,000-11,000/mm³. A WBC count of 1,700/mm³ (neutropenia) places the patient at high risk for infection, requiring immediate intervention.

D. Platelets 160,000/mm³. – Normal range for platelets is 150,000-450,000/mm³. No need to report.

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A patient with diabetes is admitted with symptoms of diabetic ketoacidosis (DKA). Which type of insulin IV should a nurse expect to administer?

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