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","C","D","E"]
Explanation
A. A low Hgb A1C means that the patient is hypoglycemic, and should drink grape juice. This is incorrect. A low Hgb A1C indicates good blood sugar control, not hypoglycemia.
B. An A1C of 6.5% or higher is diagnostic of diabetes
C. Hgb A1C result reveals the patient's average blood sugar over the last few months.
D. A Hgb A1C value of less than 5.7 is normal.
E. The Hgb A1C value is often used to monitor the effectiveness of treatment for a Diabetic patient.
Correct Answer is C
Explanation
A. The patient should be the only one to control the PCA pump. This is to prevent overmedication and to ensure the patient is in control of their pain management.
B. While it's important to use the PCA responsibly, the device is designed to prevent overdose. It has built-in safeguards to limit the amount of medication delivered.
C. This statement indicates that the patient understands the importance of communicating with the nurse about pain management. If the PCA is not effectively controlling pain, the nurse needs to be notified to adjust the medication or explore other options.
D. The PCA is designed to be used proactively to manage pain, not reactively when pain is severe. Waiting until pain is unbearable can make it more difficult to control.
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