{"id":141367,"date":"2024-09-20T19:06:28","date_gmt":"2024-09-20T19:06:28","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=141367"},"modified":"2024-09-20T19:06:30","modified_gmt":"2024-09-20T19:06:30","slug":"a-client-with-diabetic-ketoacidosis-dka-is-receiving-regular-insulin","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/20\/a-client-with-diabetic-ketoacidosis-dka-is-receiving-regular-insulin\/","title":{"rendered":"A client with diabetic ketoacidosis (DKA) is receiving regular insulin."},"content":{"rendered":"\n<p>A client with diabetic ketoacidosis (DKA) is receiving regular insulin. Which action should the practical nurse (PN) implement to evaluate the effectiveness of the insulin dosage?<\/p>\n\n\n\n<p>A.<br>Smell the client&#8217;s breath for resolution of a fruity odor.<\/p>\n\n\n\n<p>B.<br>Determine the client&#8217;s orientation to time and space.<\/p>\n\n\n\n<p>C.<br>Measure the client&#8217;s urinary output for an increased volume.<\/p>\n\n\n\n<p>D.<br>Check fingerstick blood glucose for a decrease in the level.<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\">The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n<p>The correct answer is <strong>D. Check fingerstick blood glucose for a decrease in the level.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>Diabetic ketoacidosis (DKA) is a serious complication of diabetes characterized by hyperglycemia, metabolic acidosis, and ketosis. The primary treatment for DKA involves the administration of insulin, which helps lower blood glucose levels and corrects metabolic disturbances.<\/p>\n\n\n\n<p>To evaluate the effectiveness of insulin therapy in a client with DKA, monitoring blood glucose levels is critical. Checking the fingerstick blood glucose allows the practical nurse (PN) to determine whether the insulin dosage is adequate. A decrease in blood glucose levels indicates that the insulin is effectively counteracting hyperglycemia, which is a hallmark of DKA. Targeting blood glucose levels is vital, as rapid normalization can help prevent complications such as cerebral edema, which can occur if glucose levels drop too quickly.<\/p>\n\n\n\n<p>While the other options may provide some information about the client&#8217;s condition, they do not directly evaluate the effectiveness of insulin therapy:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. Smell the client&#8217;s breath for resolution of a fruity odor<\/strong>: The fruity odor is associated with ketones, but its absence does not conclusively indicate that blood glucose levels are being managed effectively.<\/li>\n\n\n\n<li><strong>B. Determine the client&#8217;s orientation to time and space<\/strong>: Although altered mental status can be a sign of metabolic derangement, it is not a direct measure of insulin effectiveness. Orientation can fluctuate for various reasons, including electrolyte imbalances, which are common in DKA.<\/li>\n\n\n\n<li><strong>C. Measure the client&#8217;s urinary output for an increased volume<\/strong>: Increased urinary output may indicate improved hydration status, but it is not a specific indicator of how well insulin is managing blood glucose levels.<\/li>\n<\/ul>\n\n\n\n<p>In summary, checking fingerstick blood glucose levels provides immediate and specific feedback regarding the effectiveness of the insulin dosage, making it the most appropriate action for evaluating the treatment of a client with DKA.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A client with diabetic ketoacidosis (DKA) is receiving regular insulin. Which action should the practical nurse (PN) implement to evaluate the effectiveness of the insulin dosage? A.Smell the client&#8217;s breath for resolution of a fruity odor. B.Determine the client&#8217;s orientation to time and space. C.Measure the client&#8217;s urinary output for an increased volume. D.Check fingerstick [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-141367","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141367","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=141367"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141367\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=141367"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=141367"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=141367"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}