A child is brought into the emergency department with vomiting, drowsiness, and blowing respirations. The father reports that the symptoms have been progressing throughout the day. The nurse suspects diabetic ketoacidosis (DKA)
Which nursing action is most important in the management of DKA? A) Give prescribed antiemetics.
B) Begin fluid replacements.
C) Administer prescribed dose of insulin.
D) Administer bicarbonate to correct acidosis.
C
Feedback:
The main goals of treatment for DKA are to reduce the blood glucose level and then to correct the fluid electrolyte imbalance and to clear the urine and blood of ketones. Insulin is given immediately to lower the blood glucose levels and reduce the production of ketones in an effort to improve blood pH. Antiemetics are not required if the blood sugar level is corrected and is not the most important action. Fluid replacement is part of the treatment but is not the first priority. Bicarbonate is usually not required.
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