A nurse is caring for a patient who has diabetic ketoacidosis (DKA) 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 patient's glucose level.

Answer and Explanation

The Correct Answer is A

A. Obtain a prescription for supplemental oxygen. – Correct Answer. Hypoxia must be corrected first to prevent tissue hypoxia and organ failure.

B. Obtain a prescription to administer intravenous fluids. – Incorrect. IV fluids are important but oxygenation is the priority.

C. Obtain a prescription to administer insulin. – Incorrect. Insulin corrects hyperglycemia but is not the first priority over oxygenation.

D. Obtain a prescription to check the patient’s glucose level. – Incorrect. While glucose monitoring is essential, treating hypoxia takes priority.

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Correct Answer is A

Explanation

A. Correct. Moving objects prevents injury during a seizure.

B. Incorrect. The patient should be placed on their side to maintain airway patency.

C. Incorrect. Restraining the patient can cause injury.

D. Incorrect. Never insert anything into a seizing patient’s mouth, as it can obstruct the airway or break teeth.

A. Keep a padded tongue blade available at the patient's bedside. B. Place the patient's bed in the high position. C. Keep the lights on when the patient is sleeping. D. Obtain IV access.

Correct Answer is D

Explanation

A. Incorrect. Never insert anything into a seizing patient's mouth, as it can cause injury.

B. Incorrect. The bed should be in the lowest position to prevent falls.

C. Incorrect. Keeping lights on is unnecessary and can cause sensory overstimulation.

D. Correct. IV access is important in case emergency medications (e.g., lorazepam) are needed during a seizure.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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