A patient with a history of type 1 diabetes has just been admitted to the critical care unit (CCU) for diabetic ketoacidosis. The CCU nurse should prioritize what assessment during the patient's initial phase of treatment?
A) Monitoring the patient for dysrhythmias
B) Maintaining and monitoring the patient's fluid balance
C) Assessing the patient's level of consciousness
D) Assessing the patient for signs and symptoms of venous thromboembolism
Ans: B
Feedback:
In addition to treating hyperglycemia, management of DKA is aimed at correcting dehydration, electrolyte loss, and acidosis before correcting the hyperglycemia with insulin. The nurse should monitor the patient for dysrhythmias, decreased LOC and VTE, but restoration and maintenance of fluid balance is the highest priority.
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