ATI RN
ATI RN Pharmacology 2019 Exam 6 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: D
Rationale: The correct answer is D: 0.9% sodium chloride 15 mL/kg/hr. The priority in treating diabetic ketoacidosis is to address dehydration and electrolyte imbalances. Administering 0.9% sodium chloride helps to rehydrate the client and corrects electrolyte imbalances by replacing lost fluids and sodium. This intervention helps to stabilize the client's condition and prevent further complications.
Choice A (Potassium chloride 10 mEq/hr) is incorrect because administering potassium should only be done once the client's potassium levels have been assessed and corrected.
Choice B (Bicarbonate by IV infusion) is incorrect because the use of bicarbonate is controversial in treating diabetic ketoacidosis and should be reserved for severe cases with significant acidosis.
Choice C (Subcutaneous insulin injections) is important in treating diabetic ketoacidosis, but it should be initiated after addressing dehydration and electrolyte imbalances to prevent further complications.
In summary, the priority is to address dehydration
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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