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Extract:

Two hours post below knee amputation, the patient's dressing was saturated with serosanguinous secretions.


Question 1 of 5

In addition to notifying the surgeon, the priority nursing action would include:

Correct Answer: C

Rationale: Reinforcing the dressing helps control bleeding while awaiting further instructions from the surgeon, addressing the immediate issue of saturated dressings.

Extract:


Question 2 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.

Question 3 of 5

Convert 4 ounces to an equivalent amount in tablespoons.

Correct Answer: B

Rationale: 1 ounce = 2 tablespoons, so 4 ounces × 2 = 8 Tbsp. Other options are incorrect conversions.

Question 4 of 5

A nurse is caring for a patient with a peptic ulcer. Which of the following medications should the nurse anticipate administering?

Correct Answer: A

Rationale: Omeprazole, a proton pump inhibitor, reduces acid production, promoting peptic ulcer healing. Metformin, lisinopril, and furosemide treat unrelated conditions.

Question 5 of 5

A nurse is providing care for an elderly patient with dementia. Which of the following interventions is most appropriate?

Correct Answer: B

Rationale: A structured routine reduces confusion and anxiety in dementia, promoting safety and comfort. Complex decisions overwhelm, social interactions are beneficial, and physical activity supports health.

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