A nurse is admitting a client who has diabetic ketoacidosis. Which of the following types of continuous infusions should the nurse initiate?

0.45% saline

NPH insulin

0.9% normal saline

Glargine insulin

Answer and Explanation

The Correct Answer is C

A. 0.45% saline. This is a hypotonic solution, which may be used later in diabetic ketoacidosis (DKA) management, but it is not appropriate for initial fluid resuscitation as it does not rapidly expand intravascular volume.
B. NPH insulin. NPH is an intermediate-acting insulin and is not used for continuous infusion. In DKA, rapid insulin correction is needed, typically with a short-acting insulin like regular insulin.
C. 0.9% normal saline. This isotonic fluid is the first-line choice for fluid replacement in clients with DKA. It helps restore circulating volume and correct dehydration quickly, which is a critical initial intervention.
D. Glargine insulin. Glargine is a long-acting insulin and not suitable for IV infusion. DKA requires the use of short-acting insulin (e.g., regular insulin) administered via IV infusion to correct hyperglycemia and acidosis.

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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}

Explanation

An hCG level of 30,000 IU/L is significantly elevated and may suggest a molar pregnancy, especially when values are higher than expected for gestational age. In a molar pregnancy (hydatidiform mole), trophoblastic tissue proliferates abnormally, producing excessive hCG. This level, in combination with normal hemoglobin and hematocrit, makes other causes like spontaneous or induced abortion less likely.

Key Takeaways:

Extremely elevated hCG levels can indicate gestational trophoblastic disease (molar pregnancy).
Molar pregnancy is a nonviable pregnancy characterized by abnormal trophoblast proliferation.
Normal hemoglobin and hematocrit reduce the likelihood of current bleeding or miscarriage.

A. Soy B. Black cohosh C. Flaxseed D. Probiotics

Correct Answer is B

Explanation

A. Soy. While soy can have mild estrogen-like effects and may influence thyroid function or interact with certain medications, it is not typically associated with hypotension or increased surgical bleeding risk.
B. Black cohosh. Black cohosh is often used to manage menopausal symptoms but is known to cause vasodilation and hypotension in some individuals. Its use can increase the risk of low blood pressure during anesthesia and surgery.
C. Flaxseed. Flaxseed is commonly used for digestive health and cardiovascular support. It may have mild blood pressure–lowering effects but is not strongly linked to significant hypotension during surgery.
D. Probiotics. Probiotics support gut flora and immunity but do not affect blood pressure significantly. They are not associated with intraoperative complications like hypotension.

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A nurse is admitting a client who has diabetic ketoacidosis. Which of the following types of continuous infusions should the nurse initiate?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client at the clinic. Exhibits Complete the following sentence by The client is at risk for dropdowndue todropdown

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}

Explanation

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Explanation

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