When caring for the client with diabetic ketoacidosis (DKA), it is essential to include which of the following interventions in the plan of care?
1. Administer fluids intravenously.
2. Place the patient on bed rest.
3. Review the diabetic exchange diet with the patient.
4. Administer oral hypoglycemics on schedule.
Administer fluids intravenously.
Rationale: Hyperglycemia creates an osmotic diuresis and leads to dehydration. Insulin and fluids are the priorities in the care of the patient with DKA. Bed rest may be used to protect the patient from falling, but will not be a priority. The diabetic exchange diet will be reviewed, but due to osmotic diuresis, the client may have confusion; prior to resolving diabetic ketoacidosis, teaching is not appropriate. Patients with DKA will require insulin; this is a complication of type 1 diabetes.
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