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    Ati nurs 113 pharmacology proctored exam
    Select All That Apply

    The client is admitted to the ICU diagnoses with DKA. Which interventions should the nurse implement? (Select the 4 correct answers).(Select All that Apply.)

    Explanation & Rationale

    A. Push IV potassium: Potassium should be administered slowly and with caution, as administering potassium too rapidly can cause cardiac arrhythmias. Potassium should only be given according to specific protocols and after monitoring serum potassium levels. B. Administer intravenous potassium: In diabetic ketoacidosis (DKA), potassium levels often decrease due to insulin therapy, which shifts potassium into cells. Intravenous potassium is often required to replace lost potassium and prevent dangerous complications. C. Assess fluid volume status: In DKA, the client experiences significant fluid loss due to polyuria (frequent urination) and dehydration. It is important to closely monitor the client’s fluid volume status and correct it with intravenous fluids, typically normal saline. D. Check for urinary ketones: Urinary ketones are a key marker in diagnosing DKA. The nurse should monitor for the presence of ketones in the urine as it helps assess the degree of ketosis and the effectiveness of treatment. E. Maintain adequate ventilation: In DKA, respiratory compensation (such as Kussmaul breathing) is common as the body attempts to correct acidosis. Adequate ventilation should be ensured to support the respiratory system and correct the metabolic acidosis.

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