Question

the critical care nurse has just admitted a client with diabetic ketoacidosis (dka) whose blood glucose level is 877 mg/dl (48.67 mmol/l). the client's breath has a fruity odor and the client is confused. which of these does the nurse set as the priority at this time?

Answer 1

The priority for the critical care nurse in the case of a client with diabetic ketoacidosis (DKA), a blood glucose level of 877 mg/dl (48.67 mmol/l), fruity breath odor, and confusion is to initiate prompt and aggressive management of the DKA, including insulin therapy and fluid resuscitation, to correct the life-threatening metabolic imbalance.

Step-by-step explanation:

Diabetic ketoacidosis is a severe complication of diabetes characterized by hyperglycemia, ketosis, and metabolic acidosis. The extremely elevated blood glucose level of 877 mg/dl indicates uncontrolled diabetes and the need for immediate intervention. The fruity breath odor and confusion are signs of ketoacidosis and cerebral dysfunction, respectively.

The priority in the management of DKA involves addressing the metabolic abnormalities and preventing complications such as dehydration, electrolyte imbalances, and cerebral edema. Insulin therapy is crucial to lowering the elevated blood glucose levels, and fluid resuscitation is necessary to correct dehydration and support renal function. Monitoring vital signs, electrolytes, and blood gases is essential throughout the treatment process.

Prompt intervention is critical to prevent severe complications and stabilize the client's condition.

The nurse should collaborate with the healthcare team to implement the DKA treatment protocol, closely monitor the client's response to therapy, and provide ongoing support and education to prevent future episodes.