Difficulty: Medium
Average Score: 92%
Simulated
Passage / Scenario
History and PhysicalThe client is a 29-year-old female with a history of type 1 diabetes mellitus from the age of 6. She controls her blood glucose with an insulin pump and uses a continuous glucose monitor. The client was out of town, and her insulin pump was damaged. She had forgotten her backup long-acting insulin at home, so she took the 6-hour drive home. By the time she arrived at home, she was having nausea and vomiting. Her blood glucose meter read over 500 mg/dL (27.8 mmol/L). She took a dose of insulin glargine and took herself to the emergency department (ED).
Which are three goals of therapy for this client?
Correct answer
B,C,D
Rationale
Reversing dehydration with IV fluids, replacing insulin to suppress ketogenesis, and correcting electrolyte imbalances are primary goals in DKA management.