NCLEX-RN · Question #649
A client with IDDM is given IV insulin for a blood glucose level of 520 mg/dL. Life-threatening complications may occur initially, so the nurse will monitor him closely for serum:
The correct answer is D. Potassium level of 6.3 mEq/L. (A) The chloride level is within acceptable limits. (B) The sodium level is within acceptable limits. (C) This value indicates hypokalemia, rather than the hyperkalemia that occurs during diabetic (D) When diabetic ketoacidosis exists, intracellular dehydration occurs and…
Question
A client with IDDM is given IV insulin for a blood glucose level of 520 mg/dL. Life-threatening complications may occur initially, so the nurse will monitor him closely for serum:
Options
- AChloride level of 99 mEq/L
- BSodium level of 136 mEq/L
- CPotassium level of 3.1 mEq/L
- DPotassium level of 6.3 mEq/L
How the community answered
(23 responses)- A13% (3)
- B4% (1)
- C22% (5)
- D61% (14)
Explanation
(A) The chloride level is within acceptable limits. (B) The sodium level is within acceptable limits. (C) This value indicates hypokalemia, rather than the hyperkalemia that occurs during diabetic (D) When diabetic ketoacidosis exists, intracellular dehydration occurs and potassium leaves the cells and enters the vascular system, thus increasing the serum level beyond an acceptable range. When insulin and fluids are administered, cell walls are repaired and potassium is transported back into the cells. Normal serum potassium levels range from 3.5-5.0 mEq/L.
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