HESI RN
HESI RN Med Surg 3 Questions
Extract:
History and Physical
The client is a 29-year-old female with a history of type 1 diabetes mellitus from the age of 6. She controls her blood glucose with an insulin pump and uses a continuous glucose monitor. The client was out of town, and her insulin pump was damaged. She had forgotten her backup long-acting insulin at home, so she took the 6-hour drive home. By the time she arrived at home, she was having nausea and vomiting. Her blood glucose meter read over 500 mg/dL (27.8 mmol/L). She took a dose of insulin glargine and took herself to the emergency department (ED).
Question 1 of 5
Which are three goals of therapy for this client?
| Promote oxygenation to tissues. |
| Reverse dehydration. |
| Replace insulin. |
| Correct electrolytes that are out of normal range. |
| Provide respiratory support. |
| Prevent hyperventilation. |
Correct Answer: B,C,D
Rationale: Reversing dehydration with IV fluids, replacing insulin to suppress ketogenesis, and correcting electrolyte imbalances are primary goals in DKA management.
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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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