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 A
Explanation
A. Hypernatremia is a condition where the sodium level in the blood is abnormally high. This occurs in DI due to excessive water loss without adequate replacement. Seizures can be a serious complication of severe hypernatremia as it disrupts the normal function of the brain.
B. Hyponatremia is low sodium levels, which is opposite to what happens in DI.
C. Hyperkalemia is high potassium levels, unrelated to DI.
D. Fluid volume overload is also opposite to what happens in DI, as patients with DI lose excessive fluids.
Correct Answer is B
Explanation
A. While respiratory depression and cyanosis can be associated with opioid toxicity, agitation is not a typical symptom.
B. Pinpoint Pupils, Respiratory Depression, and ALOC (Altered Level of Consciousness are the three signs are classic indicators of opioid overdose.
C. PERRLA (pupils equal, round, reactive to light, and accommodation) indicates normal pupil function, which is opposite to opioid toxicity.
D. Dilated pupils are more indicative of stimulant use, not opioid overdose.
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