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?

Potassium chloride 10 mEq/hr

Bicarbonate by IV infusion

Subcutaneous insulin injections

0.9% sodium chloride 15 mL/kg/hr

Answer and Explanation

The Correct Answer is D

Choice A rationale: While potassium replacement is important in diabetic ketoacidosis, fluid resuscitation to restore intravascular volume, improve renal perfusion, and flush out ketones.
Choice B rationale: Bicarbonate infusion might be considered in severe acidosis, but fluid administration is the priority.
Choice C rationale: The priority intervention for a client with diabetic ketoacidosis and very high blood glucose levels is to initiate fluid resuscitation to restore intravascular volume, improve renal perfusion, and flush out ketones.
Choice D rationale: The first intervention the nurse should initiate is fluid resuscitation with 0.9% sodium chloride at a rate of 15 mL/kg/hr to restore intravascular volume, improve renal perfusion, and flush out ketones.

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Correct Answer is A

Explanation

Choice A rationale: Morphine is a potent opioid commonly used to manage moderate to severe cancer-related pain due to its effectiveness in controlling pain intensity.

Choice B rationale: Acetaminophen might not be adequate for managing moderate cancer pain compared to opioids like morphine.

Choice C rationale: Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), might not be sufficient for moderate to severe cancer-related pain.

Choice D rationale: Aspirin, another NSAID, might not provide adequate pain relief for moderate to severe cancer pain.

A. Propranolol and raloxifene B. Furosemide and amikacin C. Losartan and atorvastatin D. Digoxin and levothyroxine

Correct Answer is B

Explanation

Choice A rationale: Propranolol and raloxifene are not typically associated with causing hearing loss.
Choice B rationale: Furosemide (loop diuretic) and amikacin (aminoglycoside antibiotic) can cause hearing loss, especially when used together, due to their potential ototoxic effects, requiring close monitoring for signs of hearing impairment in clients receiving both medications.
Choice C rationale: Losartan and atorvastatin are not commonly linked to causing hearing loss.
Choice D rationale: While digoxin can cause hearing disturbances, levothyroxine is not typically associated with hearing loss.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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