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Questions 148

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Question 1 of 5

A 32-year-old woman comes into the clinic for a well-woman exam and asks for information on an intrauterine device (IUD) for contraception. The nurse should explain that all of the following are potential risks EXCEPT

Correct Answer: A

Rationale: IUD risks include pelvic infections, abnormal bleeding, and ectopic pregnancy. Stroke is not a recognized risk associated with IUD use.

Question 2 of 5

The nurse has inserted a nasogastric tube and aspirated gastric contents to check the pH with color-coded pH paper. The aspirate is dark brown, and pH measures slightly less than 5 according to the color chart. What does this pH usually indicate?

Correct Answer: A

Rationale: A pH < 5 with dark brown aspirate indicates gastric placement (
A). Intestinal aspirate (
B) has pH > 6, respiratory (
C) is > 7, and results are conclusive (
D).

Question 3 of 5

A client with Graves' disease is brought to the ER with a suspected thyroid storm. The nurse expects to see what signs and symptoms?

Correct Answer: E

Rationale: Thyroid storm presents with fever, tachycardia, agitation, and sweating. None of the options fully match, but A (irregular heartbeat, vomiting) is closest, though seizures and jaundice are less typical.

Question 4 of 5

An end-of-life client receiving home hospice care states he no longer wants to eat. The nurse should

Correct Answer: C

Rationale: In hospice care, respecting the client’s autonomy is key. Accepting the decision to stop eating and focusing on comfort aligns with end-of-life care principles.

Question 5 of 5

The nurse is caring for a female client following the removal of the parathyroid glands. The client complains of a 'pins and needles' sensation and difficulty swallowing lunch. The nurse would expect which laboratory value to be abnormal?

Correct Answer: A

Rationale: Parathyroidectomy can cause hypocalcemia, leading to paresthesia ('pins and needles') and dysphagia due to muscle dysfunction.

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