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Questions 160

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Question 1 of 5

When monitoring the treatment response of a client with diabetes insipidus, which component of the urinalysis is most important for the nurse to assess?

Correct Answer: C

Rationale: Diabetes insipidus causes dilute urine with low specific gravity. Monitoring specific gravity assesses treatment effectiveness in restoring normal urine concentration.

Question 2 of 5

Which statement provides the best indication that a client understands the nurse's teaching about alprazolam (Xanax), a newly prescribed medication?

Correct Answer: A

Rationale: Alcohol can potentiate alprazolam's sedative effects, increasing the risk of adverse events, so avoiding it indicates understanding.

Question 3 of 5

After a 6-year-old child undergoes a tonsillectomy, the nurse instructs the parents to avoid giving the child aspirin or aspirin products. What is the best explanation for the nurse's instruction?

Correct Answer: B

Rationale: Aspirin is linked to Reye's syndrome in children, a rare but serious condition, especially post-viral infections.

Question 4 of 5

What are the priorities when planning the care of a 75-year-old hospitalized client who develops pneumonia? Select all that apply.

Correct Answer: B,E,F

Rationale: Maintaining oxygenation addresses hypoxia, a critical issue in pneumonia. Administering antibiotics promptly and obtaining blood cultures ensure timely treatment and accurate diagnosis.

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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