Questions 150

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Question 1 of 5

A client with type 2 diabetes is admitted with a blood glucose level of 450 mg/dL. The nurse should anticipate which of the following orders?

Correct Answer: A

Rationale: Hyperglycemia requires regular insulin IV to rapidly lower blood glucose. Metformin is oral and slower, glucagon raises glucose, and potassium is not indicated without further assessment.

Question 2 of 5

A client with chronic obstructive pulmonary disease is bedridden at home and gets little exercise. The nurse should assess the client for which of the following?

Correct Answer: B

Rationale: Prolonged immobility in COPD increases calcium excretion due to bone resorption, risking osteoporosis. The other options are not directly related to immobility.

Question 3 of 5

The nurse is assessing a client with a suspected urinary tract infection. Which of the following symptoms is most likely to be present?

Correct Answer: A

Rationale: Flank pain is a common symptom of a urinary tract infection, especially if it involves the kidneys.

Question 4 of 5

A nurse at the outpatient clinic receives a lithium level report of 1.0 mEq/L for a client who has been taking lithium for 2 months. The nurse should interpret this level to indicate which of the following?

Correct Answer: D

Rationale: A lithium level of 1.0 mEq/L is within the therapeutic range (0.6–1.2 mEq/L) for maintenance therapy. Levels below this are subtherapeutic, and higher levels indicate toxicity.

Question 5 of 5

Pelvic inflammatory disease is most often caused by:

Correct Answer: D

Rationale: Neisseria gonorrhoeae is a common cause of pelvic inflammatory disease, often resulting from untreated gonorrhea, leading to infection of the reproductive organs.

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