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A 52-year-old with type 2 diabetes who takes empagliflozin had a laparoscopic cholecystectomy 3 days ago and has eaten little since. She presents with nausea, abdominal pain and Kussmaul respirations. Glucose is 210 mg/dL, pH 7.14, bicarbonate 9 mEq/L, anion gap 24, and serum beta-hydroxybutyrate is elevated. What should the nurse anticipate?
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