The nurse is caring for a client admitted with diabetic ketoacidosis (DKA). Which intervention is most important for the nurse to include in the client's plan of care?

Strict intake and output.

Maintain a large bore IV.

Keep NPO except for ice.

Monitor laboratory values

Answer and Explanation

The Correct Answer is D

Choice A: Strict intake and output monitoring is important in the care of clients with DKA, but it is not the most critical intervention among the choices provided.

Choice B: Maintaining a large bore intravenous (IV) is important for providing the necessary fluids and medications in DKA treatment, but it is not the highest priority.

Choice C: Keeping the client NPO except for ice may be part of the initial management of DKA to address fluid and electrolyte imbalances, but it is not the most important intervention in the client's overall plan of care.

Choice D: Monitoring laboratory values is the most important intervention for a client with diabetic ketoacidosis (DKA). Regular assessment of blood glucose levels, electrolytes (e.g., potassium, sodium), and arterial blood gases (ABGs) is crucial for guiding treatment and ensuring that DKA is resolving. Adjustments to insulin and fluids are based on these laboratory values to prevent complications such as cerebral edema or cardiac arrhythmias.

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Correct Answer is C

Explanation

Choice A: Sitting quietly in her mother's lap may be a sign of shyness or caution in a healthcare setting, but it is not necessarily a typical behavior for a 4-year-old child.

Choice B: Drawing a picture of oneself with facial features is a more advanced skill and may be seen in older preschool-aged children. It is not a typical behavior for a 4- year-old.

Choice C: Talking to an imaginary friend is a normal and developmentally appropriate behavior for a 4-year-old child. Imaginary friends can provide comfort and companionship during times of stress or change.

Choice D: Ignoring other children in the play area may be a sign of shyness or introverted behavior but is not necessarily indicative of normal behavior for a 4-year-old. Social interaction with peers can vary widely among children.

A. Pickles, blackberries, seeds. B. Pickled olives, spam, nuts. C. Buttermilk, spinach, milk. D. Cheese spread, processed cheese, cheese. E. Fresh meats, fresh turkey, fresh chicken.

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

Explanation

Choice A: Pickles, blackberries, and seeds are not typically high in calcium and may not significantly contribute to increasing calcium intake.

Choice B: Pickled olives, spam, and nuts are not typically high in calcium and may not significantly contribute to increasing calcium intake.

Choice C: Buttermilk, spinach, and milk are good dietary sources of calcium and should be encouraged to increase calcium intake in a client with hypocalcemia.

Choice D: Cheese spread, processed cheese, and cheese are also good dietary sources of calcium and should be encouraged to increase calcium intake in a client with hypocalcemia.

Choice E: Fresh meats, fresh turkey, and fresh chicken are not typically high in calcium and may not significantly contribute to increasing calcium intake.

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The nurse is caring for a client admitted with diabetic ketoacidosis (DKA). Which intervention is most important for the nurse to include in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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

Explanation

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