The nurse is caring for a client with diabetic ketoacidosis (DKA) who is receiving an infusion of regular insulin. Which of the following clinical data should be reported to the primary healthcare provider (PHCP) immediately?A. Glucose 297 mg/dL, 16.52 mmol/L(70-110 mg/dL, 4.0–11.0 mmol/L)B. Potassium 3.2 mEq/L, 3.2 mmol/L (3.5-5 mEq/L, 3.5–5.1 mmol/L)C. BUN 24 mg/dL, 8.568 mmol/L (10-20 mg/dL, 2.5 to 6.4 mmol/L)D. Hemoglobin A1C 8.9% (< 7%, 4.8%–6.0%)
Question
The nurse is caring for a client with diabetic ketoacidosis (DKA) who is receiving an infusion of regular insulin. Which of the following clinical data should be reported to the primary healthcare provider (PHCP) immediately?A. Glucose 297 mg/dL, 16.52 mmol/L(70-110 mg/dL, 4.0–11.0 mmol/L)B. Potassium 3.2 mEq/L, 3.2 mmol/L (3.5-5 mEq/L, 3.5–5.1 mmol/L)C. BUN 24 mg/dL, 8.568 mmol/L (10-20 mg/dL, 2.5 to 6.4 mmol/L)D. Hemoglobin A1C 8.9% (< 7%, 4.8%–6.0%)
Solution
The clinical data that should be reported to the primary healthcare provider (PHCP) immediately is B. Potassium 3.2 mEq/L, 3.2 mmol/L (3.5-5 mEq/L, 3.5–5.1 mmol/L). This is because the patient's potassium levels are below the normal range, indicating hypokalemia, which can lead to serious complications such as irregular heartbeat, muscle weakness, and fatigue. It's crucial to address this immediately to prevent further health issues.
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