The physician has prescribed 30 mEq of potassium gluconate to be given orally once a day in orange juice.

The available concentration of potassium gluconate is 20 mEq per 15 mL.

What is the amount of mL the nurse will administer Instructions: Rounding: For adult clients, the answer should be rounded to the nearest whole number (mg, mcg, and m).

The nurse should anticipate administering 0.9% sodium chloride solution and regular insulin infusion to a client with diabetic ketoacidosis (DKA).

Choice A is wrong because 0.45% sodium chloride solution is a hypotonic fluid that can cause cerebral edema in DKA patients.

Choice C is wrong because 5% dextrose in water solution can increase blood glucose levels and worsen hyperglycemia in DKA patients.

Choice D is wrong because lactated Ringer’s solution contains lactate, which can be converted to bicarbonate and cause metabolic alkalosis in DKA patients.

Normal ranges for blood glucose, pH, bicarbonate, and ketones are as follows3: Blood glucose: 70-130 mg/dL before meals, and less than 180 mg/dL after meals pH: 7.35-7.45

Bicarbonate: 22-26 mEq/L Ketones: negative or trace

This is because hyperkalemia is a condition where the blood potassium level is too high.

This can cause cardiac arrhythmias, muscle weakness, and paralysis. Therefore, the nurse should administer intravenous insulin and glucose to lower the blood potassium level by shifting it into the cells.

Choice A is wrong because encouraging the patient to consume a high- potassium diet would increase the blood potassium level and worsen the condition.

Choice C is wrong because administering a potassium-sparing diuretic would prevent the excretion of excess potassium and aggravate the hyperkalemia.

Choice D is wrong because encouraging the patient to limit fluid intake is not relevant to the management of hyperkalemia and may cause dehydration.