A nurse is caring for a client in diabetic ketoacidosis (DKA).
Which of the following is the priority intervention by the nurse?
Check potassium levels.
Begin bicarbonate continuous IV infusion.
Initiate a continuous IV insulin infusion.
Administer 0.9% sodium chloride.
The Correct Answer is D
The correct answer is Choice D.
Choice A rationale: Checking potassium levels is important in the management of DKA, but it is not the priority intervention. The priority intervention is to restore intravascular volume with fluid resuscitation
Choice B rationale: Bicarbonate infusion is not the priority intervention in the management of DKA. It is used only in severe cases of metabolic acidosis
Choice C rationale: Initiation of a continuous IV insulin infusion is an important intervention in the management of DKA, but it is not the priority intervention. The priority intervention is to restore intravascular volume with fluid resuscitation
Choice D rationale: Administering 0.9% sodium chloride is the priority intervention in the management of DKA. It is used to restore intravascular volume and correct electrolyte imbalances
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The glycosylated hemoglobin level (also known as HbA1c or A1C) is a laboratory test that reflects average levels of blood glucose over the previous two to three months.
It is the most widely used test to monitor chronic glycemic management.
Choice A is not the answer because fasting blood glucose level reflects only short-term glycemic control.
Choice C is not the answer because oral glucose tolerance test results reflect only short-term glycemic control.
Choice D is not the answer because postprandial blood glucose level reflects only short-term glycemic control.
Correct Answer is D
Explanation
The nurse should plan to insert a large-bore nasogastric tube for a client who has upper gastrointestinal bleeding due to a peptic ulcer.
This allows for gastric lavage and can help diagnose the source of bleeding.
Choice A is wrong because a 22-gauge IV line may be too small for rapid fluid resuscitation.
Choice B is wrong because ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of gastrointestinal bleeding.
Choice C is wrong because nitroprusside is a vasodilator used to treat hypertensive emergencies and is not typically used for upper gastrointestinal bleeding.
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