A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL.
Which of the following interventions should the nurse initiate first?

Subcutaneous insulin injections.

Bicarbonate by IV infusion.

0.9% sodium chloride 15 m/kg/hr.

Potassium chloride 10 mEq/hr.

Answer and Explanation

The Correct Answer is C

The first intervention for a client with diabetic ketoacidosis and a blood glucose level of 800 mg/dL should be to initiate fluid replacement therapy with 0.9% sodium chloride at a rate of 15 mL/kg/hr.

This will help to replace fluids lost through excessive urination and to dilute the excess sugar in the blood.

Choice A is wrong because subcutaneous insulin injections are not the first intervention for diabetic ketoacidosis.

Insulin therapy is generally given intravenously.

Choice B is wrong because bicarbonate by IV infusion is not the first intervention for diabetic ketoacidosis.

Choice D is wrong because potassium chloride at a rate of 10 mEq/hr is not the first intervention for diabetic ketoacidosis.

Electrolyte replacement may be necessary to replace minerals such as sodium, potassium, and chloride, but this is not the first intervention 2.

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Correct Answer is C

Explanation

Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.

Abrupt discontinuation of propranolol can result in a variety of adverse reactions, including tachycardia (increased heart rate).

Choice A is wrong because bradypnea (abnormally slow breathing) is not a known withdrawal symptom of propranolol.

Choice B is wrong because hyperkalemia (high potassium levels) is not a known withdrawal symptom of propranolol.

Choice D is wrong because rhinitis (inflammation of the nasal mucous membrane) is not a known withdrawal symptom of propranolol.

A. Use the Z-track method to administer the medication. B. Grasp skin between thumb and forefinger throughout the injection. C. Aspirate the syringe prior to injecting the heparin. D. Gently massage the site following the injection.

Correct Answer is B

Explanation

When administering heparin subcutaneously, the nurse should grasp the skin between the thumb and forefinger throughout the injection to minimize bleeding following the injection.

Choice A is wrong because Use the Z-track method to administer the medication, is not the correct answer because the Z-track method is a technique used for intramuscular injections, not subcutaneous injections.

Choice C is wrong because Aspirate the syringe prior to injecting the heparin, is not the correct answer because aspiration is not necessary when administering heparin subcutaneously.

Choice D is wrong because Gently massage the site following the injection, is not the correct answer because massaging the injection site can increase the risk of bruising and bleeding.

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A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL. Which of the following interventions should the nurse initiate first?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports taking propranolol for several years but has recently stopped for financial reasons. The nurse should assess the client for which of the following findings?

Correct Answer is C

Explanation

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Correct Answer is B

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A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL.
Which of the following interventions should the nurse initiate first?