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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The nurse who identifies the error is responsible for completing an incident report.
Initial reports often come from the frontline personnel directly involved in an event or the actions leading up to it.
Choice A is wrong because the charge nurse is not necessarily responsible for completing an incident report.
Choice B is wrong because the quality improvement committee is not responsible for completing an incident report.
Choice D is wrong because the nurse who caused the error may not be aware of it and therefore may not be responsible for completing an incident report.
Correct Answer is C
Explanation
Metformin is an antidiabetic agent used to treat type 2 diabetes mellitus.
It works by decreasing carbohydrate absorption from the gut, increasing glucose uptake in peripheral tissues in the presence of insulin, and reducing hepatic gluconeogenesis.
In normal patients, metformin ingestion is not associated with hypoglycemia.
However, it is still important to check the client’s glucose level to ensure that it is within a safe range.
Choice A is wrong because collecting the client’s uric acid level is not necessary after accidental administration of metformin.
Choice B is wrong because obtaining the client’s HDL level is not necessary after accidental administration of metformin.
Choice D is wrong because monitoring the client’s thyroid function levels is not necessary after accidental administration of metformin.
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