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Questions 149

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Question 1 of 5

The nurse is assessing a client with a history of diabetes mellitus who is admitted with diabetic ketoacidosis (DKA). Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: fruity breath odor is a classic sign of DKA due to the presence of acetone

Question 2 of 5

An RN notices an LPN in the medication room drawing up morphine. The RN asks the LPN who it is for. The LPN states that one of her clients needs pain medication. The RN offers to administer the dose, but the LPN says, 'It's ok. I can give it. I've had this client for several days and she is stable.' Which is the correct response by the nurse?

Correct Answer: C

Rationale: LPNs typically cannot administer IV narcotics like morphine in most states due to scope of practice limitations. The RN should report this to the charge nurse for clarification and safety.

Question 3 of 5

A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

Correct Answer: A

Rationale: Footling breech presentation often requires a Caesarean section due to risks of cord prolapse and delivery complications.

Question 4 of 5

A dexamethasone-suppression test has been ordered for a client with severe depression. The purpose of the dexamethasone suppression test is to:

Correct Answer: B

Rationale: The dexamethasone suppression test assesses cortisol suppression to evaluate hypothalamic-pituitary-adrenal axis dysfunction, aiding in diagnosing severe depression.

Question 5 of 5

The nurse is assessing a client with a history of diabetes mellitus who is admitted with diabetic ketoacidosis (DKA). Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: fruity breath odor is a classic sign of DKA due to the presence of acetone

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