Nur 265 Exam with Questions and Answers

Nur 265 Exam with Questions and Answers The nurse is caring for a 63 - year - old with Cushing's who is scheduled for a computed tomography ( CT ) scan with contrast . Which information about the client is most important to discuss with the health care provider before the test ? a ) Recent history of paralytic ilieus B) Complains of chronic headache C ) Blood glucose level of 224 mg / dL d ) History of renal insufficiency ANSWER d ) History of renal insufficiency A 27 - year - old client with a history of type 1 diabetes presents to the emergency department with fruity odor to breath , dry mucous membranes , a serum glucose level of 406 mg / dL and serum potassium level of 5.6 mEq / L which action prescribed by the health care provider should the nurse take first ? a ) Start an insulin infusion at 0.1 units / kg / hr . b ) Place the client on a cardiac monitor c ) Obtain urine glucose and ketone levels . d ) Administer kayexalate po ANSWER b ) Place the client on a cardiac monitor . A client who was admitted with diabetic ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago . The client reports feeling lightheaded and sweaty . Which action should the nurse take first ? a ) Administer scheduled 1 gm IV Vancomycin . b Infuse dextrose 50 % by slow IV push . c ) Have the client drink 4 ounces of orange juice . d ) Obtain a glucose reading using a finger stick . ANSWER d ) Obtain a glucose reading using a finger stick .