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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 is caring for a client who has just been diagnosed with sinus bradycardia. Indicate with an X the area on the illustration where the heartbeat's electrical impulse is initiated.

Correct Answer: A

Rationale: The sinoatrial (S
A) node, located in the right atrium, initiates the heartbeat's electrical impulse. (
Note: No illustration provided, but SA node is the standard answer.)

Question 3 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 4 of 5

The nurse is obtaining a health history on the client with a possible left-sided varicocele. Which question is most important?

Correct Answer: C

Rationale: A. Varicoceles are not inherited. B. A varicocele does occur most frequently on the left side due to retrograde blood flow from the renal vein; however, a varicocele rarely produces symptoms. C. Asking about children is important because the most common cause of male infertility is a varicocele. Approximately 15% to 20% of the healthy, fertile male population is estimated to have varicoceles. However, 40% of infertile men may have them. D. A varicocele rarely produces any symptoms. It is usually diagnosed during physical examinations related to infertility. If symptoms do occur, pain and groin tenderness are the most common symptoms.

Question 5 of 5

The nurse is teaching a client about managing hypertension. Which instruction is most appropriate?

Correct Answer: A

Rationale: Limiting sodium to 2 g/day helps reduce blood pressure in hypertension.

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