Question 1: A client with DKA is admitted to the emergency department. What is the nurse’s initial priority intervention?
Rationale: Initial rehydration with normal saline is the priority in DKA to restore circulatory volume and prevent shock.
Question 2: What laboratory value is most consistent with DKA?
Rationale: DKA is characterized by metabolic acidosis, with serum bicarbonate levels typically <15 mEq/L.
Question 3: A client with DKA is started on an IV insulin infusion. What is the nurse’s priority assessment?
Rationale: Insulin administration drives potassium into cells, potentially leading to hypokalemia. Monitoring potassium is essential to prevent cardiac complications.
Question 4: Which clinical manifestation is least likely to be observed in a client with DKA?
Rationale: Elevated blood pressure is not typically associated with DKA; hypotension may occur due to dehydration and volume depletion.
Question 5: A client recovering from DKA asks how to prevent another episode. What is the nurse’s best advice?
Rationale: During illness, clients should continue taking insulin as prescribed to prevent hyperglycemia and DKA, even if they are not eating as much.
