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Questions 160

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Question 1 of 5

A client with a history of depression is prescribed sertraline (Zoloft). Which side effect should the nurse monitor for?

Correct Answer: B

Rationale: Insomnia is a common side effect of sertraline, a selective serotonin reuptake inhibitor.

Question 2 of 5

The nurse is caring for a client receiving mechanical ventilation. Which action prevents ventilator-associated pneumonia?

Correct Answer: A

Rationale: Elevating the head of the bed reduces aspiration risk, a key factor in preventing ventilator-associated pneumonia.

Question 3 of 5

A client with a burn injury is at risk for infection. Which nursing action is most effective in preventing infection?

Correct Answer: A

Rationale:
Topical antibiotics directly prevent bacterial growth in burn wounds, reducing infection risk.

Question 4 of 5

The clinic nurse is reviewing the history of the client diagnosed with bacterial vaginosis (BV). Which identified disorder places the client at a higher risk of developing BV?

Correct Answer: D

Rationale: A. Gastroesophageal reflux disorder is not a risk factor for BV. B. Hypothyroidism does affect the reproductive system. However, it does not specifically alter the pH of the vagina, which could increase the incidence of BV. C. Cardiovascular disease is not a risk factor for BV. D. Diabetes is a risk factor for a variety of vulvovaginal infections.

Question 5 of 5

A client with diabetes comes to the emergency department. The nurse obtains a blood glucose measurement with a result of 650 mg/dL. The physician orders I.V. insulin. Which type of insulin can be given both intravenously and subcutaneously?

Correct Answer: A

Rationale: Regular insulin is safe for both IV and subcutaneous administration due to its rapid onset and short duration.

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