The nurse is caring for a client with diabetic ketoacidosis (DKA) receiving intravenous (IV) regular insulin. The most recent potassium was 2.9 mEq/L. The nurse should take which priority action:

Assess the client urine output (UOP)

Obtain a 12-lead electrocardiogram (ECG)

Notify the primary healthcare provider (PMHCP)

Stop the regular insulin infusion

Answer and Explanation

The Correct Answer is C

Choice A rationale: Assessing the UOP is important, but not as urgent as correcting the potassium imbalance.

Choice B rationale: Obtaining a 12-lead ECG can help monitor the cardiac status, but it does not address the cause of the problem.

Choice C rationale: The PMHCP can order potassium replacement to prevent cardiac arrhythmias and other adverse effects of low potassium levels.

Choice D rationale: Stopping the regular insulin infusion can worsen the DKA and increase the risk of cerebral edema and coma.

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Correct Answer is A

Explanation

Choice A rationale: Yeast vaginitis, commonly known as a yeast infection, is typically caused by an overgrowth of Candida albicans, a type of fungus. Candida albicans overgrowth can lead to symptoms like white, thick discharge and itching in the vaginal area.

Choice B rationale: Lactobacillus acidophilus is a bacterium associated with maintaining vaginal health rather than causing yeast infections.

Choice C rationale: Escherichia coli is a bacteria that can cause different types of infections but are not typically associated with yeast vaginitis.

Choice D rationale: Neisseria gonorrhoeae is a bacteria and does not cause yeast vaginitis despite having similar presentation such as pus discharge per vaginally.

A. Human papillomavirus infection B. Genital herpes C. Gonorrhea D. Infectious mononucleosis

Correct Answer is C

Explanation

Choice A rationale: HPV is a sexually transmitted infection but must not necessarily be reported to the public health department.

Choice B rationale: Genital herpes should not be reported to the public health department.

Choice C rationale: Gonorrhea is a reportable disease, meaning that health care providers must notify the public health department of any confirmed cases. This helps to prevent the spread of the infection and provide treatment and counseling to the affected individuals and their partners.

Choice D rationale: Infectious mononucleosis should not be reported to the public health department.

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The nurse is caring for a client with diabetic ketoacidosis (DKA) receiving intravenous (IV) regular insulin. The most recent potassium was 2.9 mEq/L. The nurse should take which priority action:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 23-year-old sexually active female presents with white copious discharge and itch and is diagnosed with yeast vaginitis. This condition is caused by overgrowth of which microorganism?

Correct Answer is A

Explanation

A client comes to the outpatient department complaining of vaginal discharge, dysuria, and genital irritation. Suspecting a sexually transmitted disease (STD), Dr. Smith orders diagnostic tests of the vaginal discharge. Which STD must be reported to the public health department?

Correct Answer is C

Explanation

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