A client with diabetic ketoacidosis (DK
Measure the client's blood pressure manually.
Administer intravenous fluids.
Place the client on oxygen therapy.
Administer subcutaneous insulin.
The Correct Answer is B
Choice A rationale
Measuring blood pressure manually is important in assessing the patient's hemodynamic status, but it is not the priority intervention in diabetic ketoacidosis (DKA). The priority is to address dehydration and electrolyte imbalances.
Choice B rationale
Administering intravenous fluids is the priority intervention for a client with DKA. Rapid, deep respirations (Kussmaul breathing) indicate severe metabolic acidosis and dehydration. IV fluids help to correct fluid deficit, improve perfusion, and decrease blood glucose levels.
Choice C rationale
Oxygen therapy may be beneficial if the client is hypoxic, but it is not the priority intervention for DKA. The primary issue is fluid deficit and metabolic acidosis.
Choice D rationale
Administering subcutaneous insulin is essential for managing hyperglycemia in DKA, but it should be done after initiating IV fluids to avoid rapid shifts in electrolyte balance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While swimming can be less likely to trigger asthma attacks than some other sports, children with asthma should not necessarily stop playing basketball if it's something they enjoy. Proper management and understanding triggers are crucial.
Choice B rationale
Avoiding triggers that cause an asthma attack is a fundamental part of asthma management. Triggers can vary from person to person and may include allergens, smoke, cold air, and exercise.
Choice C rationale
The peak expiratory flow meter should be used regularly, typically twice a day, to monitor asthma control, not just once per week. Regular use helps identify worsening symptoms early.
Choice D rationale
Cromolyn sodium is a preventive medication and should be taken regularly as prescribed, not just at the first sign of breathing difficulty.
Correct Answer is A
Explanation
Choice A rationale
The inability to locate a dorsalis pedis pulse and increasing pain indicate compromised circulation, which requires immediate attention to prevent complications.
Choice B rationale
Pain relieved after administering medication indicates effective pain management, which is not an urgent issue to report immediately.
Choice C rationale
Generalized weakness and increasing sensitivity to touch can be concerning but are not as urgent as signs of compromised circulation.
Choice D rationale
Localized edema and discoloration are expected findings in a fracture and are not as urgent as an absent pulse. .
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.