A patient with diabetic ketoacidosis has dry mucous membranes, weak pulses and a blood pressure of 86/54 mmHg. Which prescribed treatment should the nurse expect to start first?
Correct answer: A. Intravenous isotonic fluid replacement
- A. Intravenous isotonic fluid replacement
- B. Subcutaneous long-acting insulin
- C. Oral potassium replacement
- D. Intravenous sodium bicarbonate routinely
Explanation
Circulatory support is the immediate priority because severe dehydration causes hypovolaemia and shock in diabetic ketoacidosis. Isotonic intravenous fluid is started before or with insulin; bicarbonate is not routinely required and potassium treatment depends on the serum level.
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About Endocrine and Diabetes Nursing
Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.
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50 free Endocrine and Diabetes Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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