Free BCEN Certified Emergency Nurse (CEN) Practice Question

A 24-year-old woman with type 1 diabetes mellitus presents to the emergency department. She is awake but drowsy and has a heart rate of 115 bpm, respiratory rate of 30 breaths per minute, and blood pressure of 90/60 mmHg. Laboratory results show a blood glucose of 420 mg/dL, arterial pH of 7.25, and serum bicarbonate of 15 mEq/L. Her urine is positive for ketones. Which of the following therapeutic interventions should be prioritized?

  • Intravenous phosphate replacement

  • Administration of supplemental oxygen

  • Intravenous glucose infusion

  • Initiation of intravenous fluid resuscitation and insulin therapy

This question's topic:
BCEN Certified Emergency Nurse (CEN) / 
Medical Emergencies
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