A Patient with Type 1 Diabetes Is Found Unresponsive in the Morning

A patient with type 1 diabetes is found unresponsive in the morning by his wife and is admitted to the emergency department.On admission,the patient is unresponsive to stimuli and has fruity,sweet breath with Kussmaul's respirations.Laboratory results include arterial blood gases of pH 7.32,PCO₂ 34 mm Hg,and HCO₃^- 11 mmol/L,and a plasma glucose of 28.8 mmol/L (518 mg/dL) .Which of the following interventions does the nurse anticipate will be prescribed initially for the patient?

A) IV fluid and electrolyte replacement therapy
B) Administration of an IV bolus of regular insulin
C) Low-dose insulin infusion in a normal saline solution
D) IV administration of sodium bicarbonate to replace bicarbonate and reverse the acidosis