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Questions 149

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Question 1 of 5

A client with alcoholism has been instructed to increase his intake of thiamine. The nurse knows the client understands the instructions when he selects which food?

Correct Answer: D

Rationale: Sliced pork is a rich source of thiamine (vitamin B1), which is critical for preventing Wernicke's encephalopathy in clients with alcoholism.

Question 2 of 5

A nurse is caring for a client who has just undergone an ileostomy procedure. The nurse expects how much drainage from the ileostomy during the first 24 hours post-op?

Correct Answer: B

Rationale: Ileostomy drainage in the first 24 hours post-op is typically 500-1,000 mL due to liquid stool output. 800 mL is the most reasonable estimate.

Question 3 of 5

The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

Correct Answer: B

Rationale: Washing bed linens in hot water helps eliminate lice and nits, which is a key part of treatment for pediculosis capitis.

Question 4 of 5

The nurse is inserting an intravenous line into the right arm and has identified a potential insertion site. Place the steps (indicated in Roman numerals) of venipuncture in the proper sequential order.

Order the Items

Source Container

Palpate vein.
Cleanse skin
Apply tourniquet.
Perform venipuncture.

Correct Answer: C,A,B,D

Rationale: Venipuncture sequence: Apply tourniquet (III), palpate vein (I), cleanse skin (II), perform venipuncture (IV).

Question 5 of 5

A client is prescribed heparin 5,000 units subcutaneously every 12 hours for deep vein thrombosis prophylaxis. The pharmacy dispenses a vial containing 10,000 units/1 ml. How many milliliter(s) of heparin should the nurse administer?

Correct Answer: 0.5 mL

Rationale: Dose: 5,000 units. Concentration: 10,000 units/mL. Volume = 5,000 ÷ 10,000 = 0.5 mL per dose.

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