Armenia Healthcare Licensing Exam Practice Questions - Centralized Examination For Individual And Transitional Individual Licenses Of Senior Healthcare Workers (Armenia) Exam

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A 19-year-old woman with type 1 diabetes has abdominal pain, vomiting, and Kussmaul respirations. Blood glucose is 420 mg/dL, arterial pH 7.18, bicarbonate 10 mEq/L, anion gap 24 mEq/L, beta-hydroxybutyrate is positive, and serum potassium is 4.8 mEq/L. Which treatment plan addresses the three central components of diabetic ketoacidosis management?

Routine bicarbonate bolus, subcutaneous basal insulin alone, and oral potassium Isotonic intravenous fluid, continuous intravenous regular insulin, and monitored potassium replacement Initial dextrose bolus, high-dose furosemide, and empiric antibiotics Fluid restriction, subcutaneous regular insulin, and a cephalosporin

Correct Answer:

Isotonic intravenous fluid, continuous intravenous regular insulin, and monitored potassium replacement

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