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Questions 148

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Question 1 of 5

A client has orders for placing a small-bore nasoenteric tube. Which finding in the health history would prompt the nurse to notify the prescriber before placing tube?

Correct Answer: B

Rationale: A basilar skull fracture is a contraindication for nasoenteric tube placement due to the risk of intracranial insertion. Other conditions are not absolute contraindications.

Question 2 of 5

The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

Correct Answer: A

Rationale: Clients with MRSA require contact precautions due to the highly contagious nature of the infection, necessitating a private room to prevent transmission to others.

Question 3 of 5

A client is admitted with suspected Hodgkin's lymphoma. The diagnosis is confirmed by the:

Correct Answer: B

Rationale: Hodgkin's lymphoma is diagnosed by the presence of Reed-Sternberg cells, large abnormal cells found in lymph node biopsies.

Question 4 of 5

The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated while the client is receiving TPN?

Correct Answer: C

Rationale: TPN's high dextrose content requires glucose monitoring to prevent hyperglycemia.

Question 5 of 5

A client with a history of phenylketonuria is seen at the local family planning clinic. After completing the client's intake history, the nurse provides literature for a healthy pregnancy. Which statement indicates that the client needs further teaching?

Correct Answer: A

Rationale: Nutrasweet (aspartame) contains phenylalanine, which must be avoided in phenylketonuria, indicating a need for further teaching.

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