A client is admitted with diabetic ketoacidosis (DKA).
The nurse should anticipate administering which of the following intravenous fluids (Select all that apply).<\/p>\n\n\n\n
A.
0.45% sodium chloride solution.<\/p>\n\n\n\n
B.
0.9% sodium chloride solution.<\/p>\n\n\n\n
C.
5% dextrose in water solution.<\/p>\n\n\n\n
D.
Lactated Ringer\u2019s solution.<\/p>\n\n\n\n
E.
Regular insulin infusion.<\/p>\n\n\n\n
The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n In the case of a client admitted with diabetic ketoacidosis (DKA), the nurse should anticipate administering the following intravenous fluids:<\/p>\n\n\n\n B. 0.9% sodium chloride solution.<\/strong><\/p>\n\n\n\n E. Regular insulin infusion.<\/strong><\/p>\n\n\n\n Diabetic ketoacidosis is a serious complication of diabetes characterized by hyperglycemia, ketosis, and metabolic acidosis. The management of DKA primarily focuses on correcting fluid and electrolyte imbalances, lowering blood glucose levels, and addressing the underlying causes.<\/p>\n\n\n\n 1. 0.9% Sodium Chloride Solution (Normal Saline):<\/strong> The initial fluid replacement in DKA typically involves isotonic saline, specifically 0.9% sodium chloride solution. This solution helps restore intravascular volume, correct dehydration, and dilute hyperglycemia. Administering normal saline also aids in replacing lost electrolytes, particularly sodium and chloride, which may have been depleted due to osmotic diuresis associated with high blood glucose levels. Normal saline provides an effective means to expand blood volume and stabilize blood pressure in a patient with DKA.<\/p>\n\n\n\n 2. Regular Insulin Infusion:<\/strong> Insulin therapy is crucial in the treatment of DKA as it helps to reduce blood glucose levels by promoting glucose uptake by cells and inhibiting the liver’s glucose production. Regular insulin is typically administered intravenously for rapid action. The insulin infusion also plays a vital role in stopping ketosis by facilitating the utilization of glucose and reducing fatty acid breakdown, which is responsible for ketone production.<\/p>\n\n\n\n A. 0.45% Sodium Chloride Solution:<\/strong> While hypotonic solutions may be used after the initial stabilization phase, they are not preferred in the early management of DKA due to the risk of further dehydration.<\/p>\n\n\n\n C. 5% Dextrose in Water Solution:<\/strong> This solution is contraindicated initially as it may worsen hyperglycemia and increase ketogenesis, which is counterproductive in DKA management.<\/p>\n\n\n\n D. Lactated Ringer\u2019s Solution:<\/strong> Although this solution is isotonic and may be used in some settings, normal saline is generally the preferred choice due to its electrolyte composition and effectiveness in DKA management.<\/p>\n\n\n\n In summary, normal saline and regular insulin are the primary interventions in managing DKA effectively.<\/p>\n","protected":false},"excerpt":{"rendered":" A client is admitted with diabetic ketoacidosis (DKA).The nurse should anticipate administering which of the following intravenous fluids (Select all that apply). A.0.45% sodium chloride solution. B.0.9% sodium chloride solution. C.5% dextrose in water solution. D.Lactated Ringer\u2019s solution. E.Regular insulin infusion. The Correct answer and Explanation is: In the case of a client admitted with […]<\/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-141499","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141499","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=141499"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141499\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=141499"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=141499"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=141499"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n
Incorrect Options:<\/h3>\n\n\n\n