Your female patient with Type 1 Diabetes was brought into the Emergency Room because the family states she had been weak and fatigued after getting sick a couple of days ago. The patient is diagnosed with DKA. What do you anticipate will be ordered to treat this condition?
Blood transfusion and hourly blood sugar checks
Blood sugar checks every 4 hours and subcutaneous sliding scale Insulin
TPN
IV Regular Insulin, Continuous IV fluid administration with an Isotonic solution
The Correct Answer is D
A. Blood transfusions are not indicated for DKA unless there's severe anemia, which is not a common presentation.
B. Blood sugar checks every 4 hours and subcutaneous sliding scale Insulin are not appropriate for the severe hyperglycemia and dehydration present in DKA.
C. TPN is not necessary as the patient can tolerate oral intake once stabilized.
D. Continuous IV fluid administration is essential to correct dehydration and electrolyte imbalances, which are common in DKA. Isotonic solutions like normal saline or lactated Ringer's are typically used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A pre-diabetic A1C range is typically between 5.7 and 6.4%.
B. An A1C level of 5.4% is considered normal. This indicates good blood sugar control.
C. A diabetic A1C level is typically 6.5% or higher.
D. An A1C of 5.4% is clear and indicates normal blood sugar control.
Correct Answer is A
Explanation
A. Skinny, muscle-wasted appearance is more characteristic of emphysema, another type of COPD. Patients with chronic bronchitis often have a more ruddy complexion due to chronic hypoxia.
B. Dependent edema can occur due to right-sided heart failure, which is a complication of chronic bronchitis.
C. Production of large amounts of sputum is a hallmark symptom of chronic bronchitis.
D. Cyanotic Skin tone is also a common finding in patients with chronic bronchitis due to chronic hypoxia.
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