A client with type 1 diabetes is admitted with diabetic ketoacidosis. Initial results: blood glucose 486 mg/dL, arterial pH 7.15, serum bicarbonate 10 mEq/L, and serum potassium 3.1 mEq/L. A 0.9% sodium chloride IV bolus is infusing. Which prescription should the nurse clarify with the provider before implementing it?
- AInfuse potassium chloride 10 mEq/h IV through an infusion pump.
- BStart a continuous regular insulin infusion at 0.1 units/kg/h now.
- CCheck the capillary blood glucose level every hour during treatment.
- DPlace the client on continuous cardiac (ECG) monitoring.
Show answer and explanations
Answer
B
A: Potassium replacement is appropriate for the described low potassium under the treatment plan. B: Starting insulin before correcting marked hypokalemia can worsen the potassium deficit. C: Frequent glucose monitoring supports safe treatment. D: Cardiac monitoring is appropriate with a significant potassium disturbance.
A
Potassium replacement is appropriate for the described low potassium under the treatment plan.
B
Starting insulin before correcting marked hypokalemia can worsen the potassium deficit.
C
Frequent glucose monitoring supports safe treatment.
D
Cardiac monitoring is appropriate with a significant potassium disturbance.