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

Choice A Reason:

Increased potassium level is incorrect. Valsartan does not typically cause an increase in potassium levels.

Choice B Reason:

Decreased urinary output is incorrect. Valsartan is not directly associated with changes in urinary output.

Choice C Reason:

Increased heart rate is incorrect. Valsartan generally does not lead to an increased heart rate; it is more likely to help regulate heart rate and reduce strain on the heart.
Choice D Reason:

Decreased blood pressure is correct. Valsartan is an angiotensin II receptor blocker (ARB) commonly used to treat conditions such as heart failure and hypertension. One of its primary effects is to dilate blood vessels and lower blood pressure. Therefore, a decreased blood pressure would indicate that the medication is effective in achieving its therapeutic goal of reducing the workload on the heart and improving circulation.

Choice A reason:

May operate a motor vehicle when no longer taking analgesics is appropriate. This option could still potentially be a concern. While the patient might not be taking analgesics, the halo device's restrictions on neck movement could still impact their ability to safely operate a motor vehicle. So, this option might still need clarification with the provider.

Choice B reason:

Increase Intake of fibre-rich foods. This option is not related to the use of a halo device. Increasing fibber intake is generally a positive dietary recommendation, and it doesn't directly pertain to the halo device or the patient's discharge instructions.

Choice C reason:

May place a small pillow under the head when sleeping. This option is incorrect because using a small pillow under the head when sleeping is a common practice for patients with halo devices. It helps to maintain proper alignment and reduce discomfort while sleeping.

Choice D reason:

Take tub baths instead of showers. This option is incorrect because taking tub baths instead of showers is a common recommendation for patients with halo devices. The halo device must be kept dry to prevent complications. Showering might increase the risk of water seeping into the halo vest, whereas taking a tub bath could help in maintaining dryness around the device.