What is the nurses most appropriate action

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Reference no: EM133966975

Problem

Maria Garcia, a 22-year-old female college student, is brought to the Emergency Department by her roommate. The roommate reports that Maria has been acting "really strange" for the past 24 hours, becoming increasingly confused and lethargic. She notes that Maria has been complaining of intense thirst and abdominal pain and has been urinating frequently. The roommate is concerned because Maria was diagnosed with type 1 diabetes mellitus (T1DM) two years ago but has been "struggling to manage it" with her busy school schedule. On questioning, Maria admits she has not taken her insulin for the past two days because she had the flu, wasn't eating, and thought she didn't need it. Initial Assessment Findings: Airway: Patent, but her breath has a distinct, sweet, fruity odor. Breathing: Respirations are deep and rapid at 32 breaths/min (Kussmaul respirations). Get the instant assignment help. SpO2 is 95% on room air. Circulation: Heart rate is 128 bpm, sinus tachycardia. Blood pressure is 90/50 mmHg. Skin is dry and flushed. The initial serum potassium is 5.8 mEq/L. The provider orders an IV insulin infusion to start immediately. What is the nurse's most appropriate action?

Reference no: EM133966975

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