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

Initiate a continuous IV insulin infusion.

Begin bicarbonate continuous IV infusion.

Check potassium levels

Administer 0.9% sodium chloride

Answer and Explanation

The Correct Answer is A

Choice A reason:

Initiating a continuous IV insulin infusion is the first priority. The priority intervention for a client in diabetic ketoacidosis (DKA) is to normalize blood glucose levels and reverse the ketoacidosis. Initiating a continuous IV insulin infusion is essential to rapidly lower the elevated blood glucose levels and counteract the metabolic acidosis associated with DKA.

Choice B reason:

Beginning a bicarbonate continuous IV infusion is generally not the priority in DKA management. While metabolic acidosis is a concern in DKA, insulin therapy and fluid resuscitation are typically the initial focus of treatment.

Choice C reason:

Checking potassium levels is important since potassium imbalances are common in DKA. However, while this is important, it is not the first priority. It's important to ensure that insulin therapy has been initiated before addressing potassium levels.

Choice D reason:

Administering 0.9% sodium chloride (normal saline) is a crucial part of DKA treatment but it is not the first priority as it helps correct dehydration and electrolyte imbalances. However, starting insulin therapy to address the underlying metabolic issue takes precedence.

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Correct Answer is C

Explanation

Choice A Reason:

NG tube with suction apparatus should not be recommended. NG tubes and suction are not routine equipment for managing cystic fibrosis. They might be used for other medical conditions, such as digestive issues or nutritional support.

Choice B Reason:

Chest tube with a drainage system should not be recommended -. Chest tubes and drainage systems are used to manage conditions like pneumothorax or pleural effusion, which are not directly related to cystic fibrosis.

Choice C Reason:

Chest physiotherapy vest should be recommended. Cystic fibrosis (CF) is a genetic disorder that affects the lungs and can result in the accumulation of thick, sticky mucus. Chest physiotherapy techniques, including the use of a chest physiotherapy vest, help mobilize and loosen mucus in the airways. The vest uses mechanical vibrations to assist with airway clearance, which is an important aspect of managing CF to prevent infections and improve lung function.

Choice D Reason:

Peak flow meter should not be recommended - Peak flow meters are used to monitor and manage conditions like asthma, which can also affect lung function but are not specific to cystic fibrosis management.

A. Recommend staying at a local shelter until the client can afford the bill. B. Contact the client's family members to tell them the client's financial status C. Contact the local Department of Health and Human Services for the client D. Provide the client with written information about the dangers of hypothermia

Correct Answer is C

Explanation

Choice A reason:

Recommending staying at a local shelter might not be appropriate unless the client's health is in immediate danger due to the low temperature. It's better to explore other options first.

Choice B reason:

Contacting the client's family members about their financial status might not be necessary or respectful of the client's privacy without their consent.

Choice C reason:

Contact the local Department of Health and Human Services for the client. Contacting the local Department of Health and Human Services can help ensure that appropriate resources and assistance are provided to the client. They may have programs or services available to assist individuals who are struggling to afford heating during the winter. This action addresses the immediate concern of the client's health and the living environment.

Choice D reason:

Providing information about the dangers of hypothermia is important, but the client's current situation of living in a cold environment should be addressed first. The nurse can provide this information along with appropriate resources to help the client.

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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Correct Answer is C

Explanation

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