What complication could be indicated by the presence of a U wave on the cardiac monitor for a client being treated for diabetic ketoacidosis?

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The presence of a U wave on the cardiac monitor is often associated with the condition of hypokalemia. In situations where potassium levels are low, the U wave may become more prominent on the electrocardiogram (ECG). This is due to the heart's electrical activity being affected by insufficient potassium, which plays a crucial role in the cardiac cycle, particularly in repolarization and the overall rhythm of the heart.

In the context of diabetic ketoacidosis (DKA), patients may experience metabolic disturbances, including decreased potassium levels due to the movement of potassium into cells and renal losses. Monitoring for changes in the ECG, such as the appearance of U waves, can therefore be vital in patients undergoing treatment for DKA, as this can alert healthcare providers to potential electrolyte imbalances that require intervention.

Understanding this correlation can help in the assessment of cardiac function and guide appropriate treatment measures to correct the underlying electrolyte disorder.

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