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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 has inserted an NG tube for enteral feedings. Which assessment result is the best indicator of the tube's stomach placement?

Correct Answer: B

Rationale: A green aspirate with a pH of 3 confirms gastric placement, as stomach contents are acidic and often green due to bile, providing the most reliable indicator.

Question 3 of 5

The nurse is planning dietary changes for a client following an episode of acute pancreatitis. Which diet is suitable for the client?

Correct Answer: B

Rationale: A high-calorie, low-fat diet is suitable post-acute pancreatitis to support recovery while minimizing pancreatic stimulation.

Question 4 of 5

The 5-year-old is being tested for enterobiasis (pinworms). To collect a specimen for assessment of pinworms, the nurse should teach the mother to:

Correct Answer: A

Rationale: The tape test, applied to the perianal area at night or early morning, is the standard method to collect pinworm eggs.

Question 5 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.

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