A patient is admitted with diabetic ketoacidosis. The nurse realizes that which problem caused the cascade to diabetic ketoacidosis (DKA) to occur?
1. Ketosis
2. Insulin deficiency
3. Hypoglycemia
4. Dehydration
2
Rationale 1: Ketosis dose not cause diabetic ketoacidosis but is a result of the disorder.
Rationale 2: If inadequate insulin is present, the cells starve and use fats as an energy source. Ketoacids are released as a waste product. Lactic acids are produced as a result of anaerobic cellular metabolism.
Rationale 3: Hypoglycemia is not present in diabetic ketoacidosis. Hyperglycemia is present.
Rationale 4: Dehydration occurs as a result of diabetic ketoacidosis and not as a cause.
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