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Questions 160

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Question 1 of 5

The female client has been diagnosed with genital warts. Which assessment findings should the nurse associate with genital warts?

Correct Answer: C

Rationale: A. Painful vesicles on the labia, perineum, or anus describe the lesions of genital herpes (herpes simplex virus 2). B. Painful ulcerations of the vagina, labia, or perineum describe the lesions of genital herpes (herpes simplex virus 2). C. In females, genital warts appear as painless lesions near the vaginal opening, anus, vagina, or cervix. The lesions are textured, cauliflower appearing, and remain unchanged over time. D. A chancre is associated with syphilis, not genital warts.

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 54-year-old client who is postmenopausal reports increasing episodes of urinary leakage. Which lifestyle practice is most important for the nurse to discuss with the client?

Correct Answer: D

Rationale: A. Caffeine can increase urinary frequency, but the loss of muscle tone contributes to urinary leakage. B. A regular voiding schedule improves bladder control, but beginning with an hourly voiding schedule is unnecessary and inconvenient. C. Decreasing intake of fluids can contribute to dehydration. D. Kegel exercises improve urinary incontinence by strengthening the pelvic floor muscles that support the bladder.

Question 4 of 5

The nurse is assessing a client with suspected anaphylactic shock. Which finding is most concerning?

Correct Answer: A

Rationale: Wheezing indicates airway constriction, a life-threatening sign in anaphylactic shock.

Question 5 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.

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