NUR 265 EXAM 2 PREP QUESTIONS
AND CORRECT DETAILED
ANSWERS (ALREADY GRADED A+)
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?
Start an insulin infusion at 0.1 units/kg/hr.
Administer kayexalate po
Obtain urine glucose and ketone levels.
Place the client on a cardiac monitor. - correct
answer- Place the client on a cardiac monitor.
A 29-year-old woman with systemic lupus erythematosus
has been prescribed 3 weeks of high-dose prednisone
therapy. Which information about the prednisone is most
important for the nurse to include?
,"The prednisone dose should be decreased gradually
rather than stopped suddenly."
"Call the health care provider if you experience mood
alterations with the prednisone."
"A weight-bearing exercise program will help minimize
the risk for osteoporosis."
"Weigh yourself daily to monitor for weight gain caused
by increased appetite." - correct answer- "The
prednisone dose should be decreased gradually rather
than stopped suddenly."
A 38-year-old client with a history of Addison's disease
has been admitted to the hospital. Which client statement
requires immediate follow up by the nurse?
"I take twice as much hydrocortisone in the morning dose
as I do in the afternoon."
"I had the stomach flu earlier this week, so I couldn't take
the hydrocortisone."
, "I frequently eat at restaurants, and I add a lot of table
salt to my food."
"I always double my dose of hydrocortisone on the days
that I go for a long run." - correct answer- "I
had the stomach flu earlier this week, so I couldn't take
the hydrocortisone."
A 44-year-old client is admitted with tetany. Which
laboratory value should the nurse monitor?
Serum calcium
Serum potassium
Serum magnesium
Serum sodium - correct answer- Serum
calcium
A 56-year-old client who is disoriented and reports a
headache and muscle cramps is hospitalized with possible
syndrome of inappropriate antidiuretic hormone (SIADH).
The nurse would expect the initial laboratory results to
include a(n)
AND CORRECT DETAILED
ANSWERS (ALREADY GRADED A+)
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?
Start an insulin infusion at 0.1 units/kg/hr.
Administer kayexalate po
Obtain urine glucose and ketone levels.
Place the client on a cardiac monitor. - correct
answer- Place the client on a cardiac monitor.
A 29-year-old woman with systemic lupus erythematosus
has been prescribed 3 weeks of high-dose prednisone
therapy. Which information about the prednisone is most
important for the nurse to include?
,"The prednisone dose should be decreased gradually
rather than stopped suddenly."
"Call the health care provider if you experience mood
alterations with the prednisone."
"A weight-bearing exercise program will help minimize
the risk for osteoporosis."
"Weigh yourself daily to monitor for weight gain caused
by increased appetite." - correct answer- "The
prednisone dose should be decreased gradually rather
than stopped suddenly."
A 38-year-old client with a history of Addison's disease
has been admitted to the hospital. Which client statement
requires immediate follow up by the nurse?
"I take twice as much hydrocortisone in the morning dose
as I do in the afternoon."
"I had the stomach flu earlier this week, so I couldn't take
the hydrocortisone."
, "I frequently eat at restaurants, and I add a lot of table
salt to my food."
"I always double my dose of hydrocortisone on the days
that I go for a long run." - correct answer- "I
had the stomach flu earlier this week, so I couldn't take
the hydrocortisone."
A 44-year-old client is admitted with tetany. Which
laboratory value should the nurse monitor?
Serum calcium
Serum potassium
Serum magnesium
Serum sodium - correct answer- Serum
calcium
A 56-year-old client who is disoriented and reports a
headache and muscle cramps is hospitalized with possible
syndrome of inappropriate antidiuretic hormone (SIADH).
The nurse would expect the initial laboratory results to
include a(n)
