Why would the nurse implement seizure precautions in a patient with diabetic ketoacidosis (DKA)? The patient may be at risk for seizures because:
1. Potassium shifts may cause cerebral ischemia.
2. Intracellular fluid shifts may cause cerebral edema.
3. High blood glucose levels overstimulate brain cells.
4. Drugs used to treat the DKA have a side effect of seizures.
2
Rationale 1: Potassium shifts do not cause cerebral ischemia.
Rationale 2: Rapid fluid shifts into the cell can cause swelling of brain tissues. This puts the patient at risk for seizures.
Rationale 3: This is not the cause for seizures in this patient.
Rationale 4: Drugs used to treat DKA do not have a side effect of seizures.
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