A nurse is caring for an adolescent Drag words from the choices below to an each blank in the following sentence. When planning care for this client, the nurse should anticipate a provider's prescription for which of the following? The nurse should anticipate the provider's prescriptions for this client to include and
Explanation & Rationale
Rationale for correct choices: Administer Oxygen via nasal cannula: The adolescent has an oxygen saturation of 92% on room air with tachypnea and Kussmaul respirations, indicating metabolic acidosis and increased oxygen demand. Supplemental oxygen supports tissue oxygenation. Add 5% dextrose to IV fluid when glucose is below 300 mg/dL: In DKA management, as glucose levels decrease, dextrose is added to IV fluids to prevent hypoglycemia while continuing insulin therapy to resolve ketosis. Rationale for incorrect choices: Infuse bolus of 1,400 mL of NaCl over 1 hr: This is an excessive fluid bolus for an adolescent and increases the risk of cerebral edema. Fluid replacement should be gradual and carefully calculated. Administer 7 units of regular insulin subcutaneously every 2 hr: DKA requires continuous IV insulin infusion, not intermittent subcutaneous dosing. Change IV fluid to 0.9% NaCl with 20 mEq/L of KCl: Potassium is currently elevated (5.1 mEq/L). Potassium is not added until levels decrease and urine output is confirmed.