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Questions 227

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Extract:

Health teachings on foods rich in folic acid on a pregnant mother to prevent complications on a growing fetus is under:


Question 1 of 5

Health teachings on foods rich in folic acid on a pregnant mother to prevent complications on a growing fetus is under:

Correct Answer: B

Rationale: Folic acid education is primary prevention, reducing the risk of neural tube defects.

Extract:


Question 2 of 5

An elderly client has returned to her room following internal fixation of a fractured hip. To prevent dislocation of the hip prosthesis, the nurse should:

Correct Answer: D

Rationale: Maintaining the hip in an abducted position prevents dislocation of the prosthesis. Adduction or lying on the affected side increases dislocation risk. Supine is neutral but less specific.

Question 3 of 5

The nurse is caring for a client who had a right below-the-knee amputation three days ago. The client complains of pain in the right foot and asks for pain medication. What nursing action is appropriate initially?

Correct Answer: C

Rationale: Phantom limb pain, common post-amputation, is real pain; administering ordered pain medication addresses it effectively. Elevation, placebos, or discussion are less appropriate initially.

Extract:

A patient is to have gastric gavage.


Question 4 of 5

When the gavage tube is inserted, the nurse should place the patient in the:

Correct Answer: D

Rationale: High Fowler's position prevents aspiration during gastric gavage.

Extract:


Question 5 of 5

An infant has just returned from surgery for placement of a gastrostomy tube as an initial treatment for tracheoesophageal fistula. The mother asks: 'When can the tube can be used for feeding?' The nurse's best response would be which of these comments?

Correct Answer: C

Rationale: The stomach contents and air must be drained first.' After surgery for gastrostomy tube placement, the catheter is left open and attached to gravity drainage for 24 hours or more.

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