NCLEX-RN (Registered Nurse) Practice Exam · Question
A client is admitted with diabetic ketoacidosis (DKA). The nurse anticipates that the initial goals of treatment will include:
The immediate priorities in DKA management are fluid resuscitation to correct dehydration and address electrolyte imbalances (especially potassium) caused by os
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Question: A client is admitted with diabetic ketoacidosis (DKA). The nurse anticipates that the initial goals of treatment will include:
Answer options:
- Administering intravenous insulin and oral fluids. ✅ Correcting fluid deficits and electrolyte imbalances.
- Initiating a high-potassium diet and decreasing insulin doses.
- Providing oxygen therapy and administering sodium bicarbonate.
Correct answer: Correcting fluid deficits and electrolyte imbalances.
Explanation: The immediate priorities in DKA management are fluid resuscitation to correct dehydration and address electrolyte imbalances (especially potassium) caused by osmotic diuresis, along with intravenous insulin to correct hyperglycemia and acidosis. Oral fluids are not appropriate initially, and sodium bicarbonate is rarely used unless acidosis is severe and life-threatening.
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