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Questions 149

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Question 1 of 5

A client has been taking perphenazine (Trilafon) by mouth for two days and now displays the following: head turned to the side, neck arched at an angle, stiffness and muscle spasms in neck. The nurse would expect to give which of the following as a PRN medication?

Correct Answer: B

Rationale: is an antiparkinsonian agent, used to counteract extrapyramidal side effects the client is experiencing

Question 2 of 5

The nurse is assessing the reflexes of a full-term newborn infant. Which of the following is true regarding newborn reflexes?

Correct Answer: D

Rationale: The Moro reflex, present at birth, typically disappears by 6 months. Babinski persists until ~2 years, fencing (tonic neck) until 4-6 months, and stepping until 1-2 months.

Question 3 of 5

The doctor has prescribed a diet high in vitamin B12 for a client with pernicious anemia. Which foods are good sources of B12?

Correct Answer: A

Rationale: Vitamin B12 is found in animal products like meat, eggs, and dairy, essential for treating pernicious anemia due to impaired B12 absorption.

Question 4 of 5

A woman has undergone a mastectomy of her right breast and has been brought to the recovery unit. The nurse explains that the client should

Correct Answer: A

Rationale: Elevating the arm on a pillow reduces lymphedema risk post-mastectomy by promoting lymphatic drainage.

Question 5 of 5

A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

Correct Answer: C

Rationale: A viral load of 200 copies/ml is low, indicating effective treatment and minimal circulating virus.

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