A client with type 1 diabetes has glucose 480 mg/dL, Kussmaul respirations, fruity breath, and positive ketones. Which provider order should the nurse implement first?

Question

Accepted Answer

B. Begin isotonic IV fluids (e.g., normal saline) — DKA causes severe dehydration from osmotic diuresis. Initial priority is fluid resuscitation with isotonic IV fluids, then insulin and electrolyte management (especially potassium) per protocol.

Answer

A. Start an insulin infusion immediately

Answer

C. Give oral potassium supplements

Answer

D. Restrict fluids to prevent edema