Author Question: The nurse is caring for a patient in DKA with serum sodium of 130 and serum glucose of 600. After ... (Read 74 times)

Evvie72 · **on:** Jun 2, 2019

Question 1

Which nursing diagnosis would be least appropriate when planning care for a patient with diabetic ketoacidosis (DKA) or hyperglycemic hyperosmolar nonketotic syndrome (HHNS)?
◦ Ineffective tissue perfusion RT hypovolemia and decreased peripheral blood flow
◦ Imbalanced nutrition, less than body requirements RT inability to utilize glucose
◦ Excessive fluid volume related to (RT) fluid shifts from hyperosmolarity
◦ Risk for infection RT increased blood glucose and decreased peripheral blood flow

Question 2

The nurse is caring for a patient in DKA with serum sodium of 130 and serum glucose of 600. After calculating the corrected serum sodium (CSS) [CSS = Serum Na+ + {[(Serum glucose (mg/dL) - 100) / 100] × 1.6}], which intravenous fluid should the nurse plan to provide this patient?
◦ 0.9 NS
◦ 0.45 NS
◦ D5 1/2 NS
◦ Lactated Ringer's (LR)

pangili4 · **Reply #1 on:** Jun 2, 2019

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