💊 NCLEX-RN Exam Prep

A patient admitted with diabetic ketoacidosis (DKA) has a blood glucose of 750 mg/dL. Which intravenous fluid is most appropriate to initiate initially?

A Dextrose 5% in Water (D5W)
B 0.45% Sodium Chloride (Half-normal saline)
C Lactated Ringer's solution
D 0.9% Sodium Chloride (Normal saline)

✓ Correct Answer: Option D

Isotonic 0.9% Sodium Chloride is the initial fluid of choice for DKA to rapidly expand intravascular volume, restore renal perfusion, and reduce serum osmolality.

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