A nurse is caring for a client who has diabetic ketoacidosis and hypoxia.
Which of the following actions should the nurse take first?

Obtain a prescription for supplemental oxygen.

Obtain a prescription to administer intravenous fluids.

Obtain a prescription to administer insulin.

Obtain a prescription to check the client's glucose level.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Obtaining a prescription for supplemental oxygen is the first action as hypoxia must be corrected immediately to ensure adequate tissue oxygenation.

Choice B rationale

Obtaining a prescription to administer intravenous fluids is essential to address dehydration but is secondary to correcting hypoxia.

Choice C rationale

Obtaining a prescription to administer insulin is crucial to manage hyperglycemia in diabetic ketoacidosis but not the initial step in this context.

Choice D rationale

Obtaining a prescription to check the client's glucose level is necessary for monitoring but does not address the immediate need for oxygenation.

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Correct Answer is D

Explanation

Choice A rationale

Decreased serum lipase is not expected in acute pancreatitis; rather, lipase levels are typically elevated due to pancreatic enzyme leakage into the bloodstream.

Choice B rationale

Increased serum calcium is not a typical finding in acute pancreatitis; instead, hypocalcemia can occur due to fat necrosis and soap formation.

Choice C rationale

Decreased WBC is not expected; an elevated WBC count is common due to the inflammatory response associated with pancreatitis.

Choice D rationale

Increased serum amylase is a hallmark of acute pancreatitis as the damaged pancreas releases more amylase into the blood.

A. Agitation. B. Dysphagia. C. Nausea. D. Hypotension.

Correct Answer is A

Explanation

Choice A rationale

Agitation is a common manifestation of hypoxemia due to insufficient oxygen reaching the brain and other vital organs.

Choice B rationale

Dysphagia, or difficulty swallowing, is not a typical manifestation of hypoxemia during an asthma attack.

Choice C rationale

Nausea can occur but is not a primary indicator of hypoxemia.

Choice D rationale

Hypotension may occur with severe hypoxemia but is not a direct manifestation of asthma-related hypoxemia.

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A nurse is caring for a client who has diabetic ketoacidosis and hypoxia.Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

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A nurse is caring for a client who has diabetic ketoacidosis and hypoxia.
Which of the following actions should the nurse take first?