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Endocrine CCRN Questions With Accurate Answers
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A pt is in the PICU w DKA. Insulin gtt, latest labs reveal glucose remains elevated so the insulin gtt is to be continued without any changes. K+=5.1 and Chloride=118. Which of the following changes in the maintenance fluid does the nurse anticipate? a. Refrain from K+ admin b. Add K+ Chloride c. Add K+ Acetate d. No changes as the electrolytes are in normal range correct answer C. Add K+ Acetate
Child w DKA admitted at 1300. BG 1124 mg/dL and pH 6.9. Insulin gtt begun at 0. U/kg/hr. At 1500, labs reveal a BG of 600 mg/dL and a pH of 7.1. After notifying the provider, the nurse anticipates the following order: a. Continue w current insulin infusion and continue to monitor. b. Continue w current insulin infusion and administer normal saline bolus of 10 ml/kg. c. Hold insulin infusion and reassess labs in 1 hour. d. Continue insulin infusion and add dextrose infusion. correct answer d. continue insulin infusion and add dextrose infusion.
d. (NaX2) + (glucose/2.8) + (BUN/18) correct answer C. (NaX2) + (glucose/18) + (BUN/2.8) Which of the following would be found in a child w DI? a. Plasma osmolality 230 b. Serum sodium 152 c. Urine osmolality 325 d. Urine spec grav 1.040 correct answer B. serum sodium 152