A patient with diabetic ketoacidosis is brought to the emergency department. Which prescribed action should the nurse implement first?
Bring the patient a meal.
Administer Lantus insulin IV.
Give sodium bicarbonate 50 mEq IV push.
Start an infusion of normal saline at 125 ml/hr.
The Correct Answer is D
Diabetic ketoacidosis (DKA) is a serious complication of diabetes that occurs when the body produces high levels of blood acids called ketones. The initial management of DKA involves fluid resuscitation with intravenous normal saline to correct dehydration and electrolyte imbalances. Therefore, starting an infusion of normal saline at 125 ml/hr is the first prescribed action the nurse should implement.
Bringing the patient a meal is not a priority at this time because the patient's blood glucose levels need to be stabilized before they can safely consume food. Administering Lantus insulin IV and giving sodium bicarbonate 50 mEq IV push are also not the first-line treatments for DKA. Lantus insulin is a long-acting insulin used to treat hyperglycemia over an extended period and should not be given intravenously. Sodium bicarbonate may be used to correct acidosis, but it is not the first priority in DKA management.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Diabetes insipidus is a condition in which the body is unable to properly regulate fluid balance, leading to excessive urination (polyuria) and thirst. Therefore, the nurse should anticipate the clinical manifestation of polyuria in a patient admitted to the hospital with diabetes insipidus. The patient may excrete large amounts of dilute urine, which can lead to dehydration if adequate fluid replacement is not provided. The other options listed (fluid volume overload, decreased gas exchange, and generalized edema) are not typically associated with diabetes insipidus, as this condition is characterized by a deficiency of antidiuretic hormone (ADH) rather than an excess of fluid.
Correct Answer is ["2"]
Explanation
0.25 mg is equivalent to 250 mcg (micrograms). Therefore, the correct answer would be to give half of a 125 mcg tablet, which would be 0.125 mg or 125 mcg.
Synthroid is a prescription medicine used to treat hypothyroidism (low thyroid hormone). Levothyroxine is given when your thyroid does not produce enough of this hormone on its own². The typical starting dosage for this use in adults is 12.5 mcg to 25 mcg, once per day¹. Therefore, if you have Synthroid 125 mcg tablets available and you need to give Synthroid 0.25 mg po, you should give **2 tablets**
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