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Questions 227

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Extract:


Question 1 of 5

A client received six units of regular insulin three hours ago. The nurse would be MOST concerned if which of the following was observed?

Correct Answer: C

Rationale: Regular insulin peaks in 2–4 hours, and the symptoms in choice C (diaphoresis and trembling) are classic signs of hypoglycemia, a potential complication at this time. Hypoglycemia requires immediate intervention, such as administering skim milk or glucose.
Choice A indicates hyperglycemia (Kussmaul respirations), and choices B and D are not specific to hypoglycemia.

Extract:

The patient has been receiving 2500 ml of IV fluid and 300 to 400 ml of oral intake daily for 2 days. The patient's urine output has been decreasing and now has been less than 40 ml per hour for the past 3 hours.


Question 2 of 5

The nurse should immediately:

Correct Answer: B

Rationale: Low urine output suggests renal or fluid issues, requiring vital signs and breath sound assessment.

Extract:


Question 3 of 5

To prevent drug resistance from developing, the nurse is aware that which of the following is a characteristic of the typical treatment plan to eliminate the tuberculosis bacilli?

Correct Answer: D

Rationale: Administering two anti-tuberculosis drugs. Resistance of the tubercle bacilli often occurs to a single antimicrobial agent.
Therefore, therapy with multiple drugs over a long period of time helps to ensure eradication of the organism.

Extract:

Screening for high blood cholesterol in the community is under:


Question 4 of 5

Screening for high blood cholesterol in the community is under:

Correct Answer: C

Rationale: Cholesterol screening is secondary prevention, identifying at-risk individuals for early intervention.

Extract:


Question 5 of 5

A 15 year-old client with a lengthy confining illness is most at risk for altered psycho-emotional growth and development due to

Correct Answer: C

Rationale: Dependence. The client role fosters dependency, which adolescents may react to with rejection or withdrawal.

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