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.

Answer and Explanation

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

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Correct Answer is B

Explanation

This statement indicates an understanding of the teaching because serum ammonia levels can be elevated in liver disease and are used to monitor the progression of liver disease.
Choice A is incorrect because glucose levels are not typically used to monitor liver disease.
Choice C is incorrect because serum troponin levels are used to diagnose heart attacks, not liver disease.
Choice D is incorrect because phosphate levels are not typically used to monitor liver disease.

A. Use an aseptic technique when changing the dressing. B. Cleanse the site with povidone-iodine. C. Flush the catheter using a 10-mL syringe. D. Change the dressing every 24 hours.

Correct Answer is A

Explanation

The aseptic technique is important to prevent infection when changing the dressing of a central venous access device.
Choice B is not correct because povidone-iodine is not always the recommended cleansing agent for central venous access devices.
Choice C is not correct because a 10-mL syringe may generate too much pressure and damage the catheter.
Choice D is not correct because the dressing does not always need to be changed every 24 hours; the frequency of dressing changes depends on the type of dressing and the condition of the site.

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A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse?

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A nurse is caring for a client in diabetic ketoacidosis (DKA).

Which of the following is the priority intervention by the nurse?