Nursing 201 Hesi Exit Test Bank Exam Questions And Answers Best Graded A+ Guaranteed Success Latest Update 2022

1. An older male client with a history of type 1 diabetes has not felt well the past few days and arrives at the clinic with abdominal cramping and vomiting. He is lethargic, moderately, confused, and cannot remember when he took his last dose of insulin or ate last. What action should the nurse implement first? A. Start an intravenous (IV) infusion of normal saline B. obtain a serum potassium level C. administer the client's usual dose of insulin D. assess pupillary response to light E. Rationale: the nurse should first start an intravenous infusion of normal saline to replace the fluids and electrolytes because the client has been vomiting, and it is unclear when he last ate or took insulin. The symptoms of confusion, lethargy, vomiting, and abdominal cramping are all suggestive of hyperglycemia, which also contributes to diuresis and fluid electrolyte imbalance. 2. A client who received multiple antihypertensive medications experiences syncope due to a drop in blood pressure to 70/40. What is the rationale for the nurse’s decision to hold the client’s scheduled antihypertensive medication? A. increased urinary clearance of the multiple medications has produced diuresis and lowered the blood pressure B. the antagonistic interaction among the various blood pressure medications has reduced their effectiveness D. the synergistic effect of the multiple medications has resulted