Complete the following sentence by using the lists of options. The client is at risk for developing dropdowndue to dropdown.
Explanation & Rationale
Potassium level (The Risk): This client’s serum potassium is already critically low at 2.9 mEq/L. In the treatment of Diabetic Ketoacidosis (DKA), the administration of insulin is necessary to resolve the hyperglycemia and metabolic acidosis. However, insulin drives potassium back into the cells, which will cause the serum potassium level to drop even further, putting the client at immediate risk for severe, life-threatening cardiac arrhythmias. Kidney function (The Contributing Factor): In DKA, the profound osmotic diuresis (indicated by the client’s thirst and high urine output) results in significant loss of electrolytes, including potassium, through the kidneys. While the client currently has a high urine output, their renal status must be closely monitored to ensure that potassium replacement can be safely administered once the insulin infusion begins.