The nurse is caring for a child just admitted with diabetic ketoacidosis (DKA). Which of the physician's orders should the nurse question?
1. Neurological checks hourly
2. Insert urinary catheter and measure output hourly.
3. NPH insulin IV at 0.1 units/kg per hour
4. Stat serum electrolytes
3
Rationale 1: Hourly neuro checks are an appropriate order.
Rationale 2: Urinary catheter and hourly outputs are appropriate.
Rationale 3: NPH insulin is never administered IV. A short-acting insulin needs to be ordered.
Rationale 4: Stat electrolytes are an appropriate order.
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