A client with diabetic ketoacidosis is prescribed IV insulin. The potassium level is 2.9 mEq/L. Which action s…

Question

A client with diabetic ketoacidosis is prescribed IV insulin. The potassium level is 2.9 mEq/L. Which action should the nurse anticipate before starting the insulin infusion?

Accepted Answer

Option 4: Replace potassium as prescribed and place the client on cardiac monitoring.

Insulin shifts potassium into cells and can worsen hypokalemia, increasing dysrhythmia risk. A potassium level of 2.9 mEq/L requires replacement and monitoring before or with insulin according to protocol. DKA also requires fluids and close monitoring, not discharge.

Answer

Option 1: Initiate insulin therapy promptly because it will shift potassium back into cells.

Answer

Option 2: Postpone intravenous fluid therapy until the potassium level is normalized.

Answer

Option 3: Start the IV insulin infusion without delay and monitor potassium levels closely.

A client with diabetic ketoacidosis is prescribed IV insulin. The potassium level is 2.9 mEq/L. Which action should the nurse anticipate before starting the insulin infusion?

In-depth explanation

Clinical scenario

Key concepts

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A client with diabetic ketoacidosis is prescribed IV insulin. The potassium level is 2.9 mEq/L. Which action should the nurse anticipate before starting the insulin infusion?

In-depth explanation

Clinical scenario

Key concepts

Master the NCLEX-RN with MyMerci