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Questions 149

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Question 1 of 5

A client with diabetes insipidus is receiving DDAVP (desmopressin acetate). Which lab finding indicates that the medication is having its intended effect?

Correct Answer: B

Rationale: Desmopressin increases water reabsorption, concentrating urine; a urine specific gravity of 1.020 indicates effective treatment.

Question 2 of 5

The nurse is precepting a student nurse on the medical-surgical unit. The student nurse is preparing to administer insulin. Which action by the student nurse calls for immediate intervention?

Correct Answer: B

Rationale: Regular insulin is the only type safe for IV administration; other insulins like NPH are not, requiring immediate intervention.

Question 3 of 5

A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:

Correct Answer: B

Rationale: Glucotrol XL (glipizide) is an oral hypoglycemic agent that works best when taken with breakfast to manage blood glucose levels throughout the day.

Question 4 of 5

After attending a company picnic, several clients are admitted to the emergency room with E. coli food poisoning. The most likely source of infection is:

Correct Answer: A

Rationale: Undercooked hamburger is a common source of E. coli, particularly strains like O157:H7, which can contaminate ground beef.

Question 5 of 5

The nurse is preparing a middle-aged female for a total knee replacement (TKR) surgery on her left leg tomorrow. Which statement by the nurse is incorrect?

Correct Answer: C

Rationale: A fracture pan is inappropriate post-TKR; a bedpan or bedside commode is typically used. Other statements are correct.

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