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NCLEX Question of the Day
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A patient presents with diabetic ketoacidosis (DKA). The nurse expects to administer which initial treatment?
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Correct answer Regular insulin IV infusion
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Oral hypoglycemics
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Subcutaneous insulin
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Sodium bicarbonate IV infusion
Rationale
The initial treatment for diabetic ketoacidosis (DKA) involves intravenous administration of regular insulin to lower blood glucose, correct ketoacidosis, and restore normal glucose metabolism. Subcutaneous insulin and oral hypoglycemics take longer to take effect and are not the treatments of choice in the acute management of DKA. Sodium bicarbonate IV infusion is only used in cases of severe acidosis, not as an initial treatment.
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