ATI RN
ATI RN Pharmacology 2019 I Questions
Extract:
Question 1 of 5
A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL. Which of the following interventions should the nurse initiate first?
Correct Answer: C
Rationale: The correct answer is C: 0.9% sodium chloride 15 mL/kg/hr. The initial priority in managing diabetic ketoacidosis is to address dehydration and electrolyte imbalances. Administering 0.9% sodium chloride at 15 mL/kg/hr helps to rehydrate the client and improve circulation. This intervention helps to correct the hypovolemia commonly seen in diabetic ketoacidosis, stabilizing the client's condition before addressing other aspects of treatment.
Choice A (Subcutaneous insulin injections) would be the next step after fluid resuscitation to lower the blood glucose level.
Choice B (Bicarbonate by IV infusion) is not typically recommended as it can worsen acidosis.
Choice D (Potassium chloride 10 mEq/hr) should be held until the client's renal function and urine output are assessed to prevent potential hyperkalemia.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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