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Questions 160

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Extract:


Question 1 of 5

A client with type 2 diabetes mellitus reports feeling shaky and sweaty. The nurse checks the blood glucose level, which is 55 mg/dL. What is the nurse's priority action?

Correct Answer: B

Rationale: A blood glucose of 55 mg/dL indicates hypoglycemia; 15 g of a fast-acting carbohydrate (e.g., juice) is the priority to raise glucose levels.

Question 2 of 5

The nurse caring for a middle-aged adult would expect which characteristic behavior indicating the developmental task of generativity?

Correct Answer: C

Rationale: Generativity involves contributing to future generations, such as through writing a memoir to share life experiences.

Question 3 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 4 of 5

A client with a history of gout is prescribed allopurinol. Which instruction should the nurse include?

Correct Answer: A

Rationale: Taking allopurinol with food reduces gastrointestinal irritation.

Question 5 of 5

The nurse is caring for a client with a urinary catheter. Which action reduces the risk of catheter-associated urinary tract infection?

Correct Answer: B

Rationale: Daily cleaning of the catheter insertion site with soap and water reduces bacterial growth and infection risk.

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