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Questions 227

NCLEX-PN

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Extract:

Gastrostomy tube was placed on the patient with terminal stage of throat cancer. Feeding is started today.


Question 1 of 5

Prior to initiating the first gastrostomy feeding, the nurse should perform which of the following?

Correct Answer: D

Rationale: Flushing the tube ensures patency before feeding, preventing blockages and ensuring safe administration.

Extract:

A client asks the nurse about her beta-blockers medication effect to her angina.


Question 2 of 5

What would be the nurse's response?

Correct Answer: C

Rationale: Beta-blockers decrease heart rate and cardiac contractility, reducing myocardial oxygen demand and relieving angina.

Extract:

The nurse understands that the patient with esophageal varices should not be given food such as:


Question 3 of 5

The nurse understands that the patient with esophageal varices should not be given food such as:

Correct Answer: A

Rationale: Crackers, being rough, can irritate or rupture fragile esophageal varices.

Extract:

Marie is a 38-year-old primigravida who is admitted with a diagnosis of pregnancy induced hypertension (PIH).


Question 4 of 5

Priority nursing care on the patient with PIH include:

Correct Answer: C

Rationale: Low urine output (335 ml/24 hours) indicates possible renal involvement in PIH, a priority for monitoring and reporting to prevent further complications.

Extract:


Question 5 of 5

Because the client is thought to have Cushing's syndrome, the nurse should assess the client for the presence of which of the following? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Cushing's syndrome causes hyperglycemia, easy bruising, immunosuppression, and fluid retention due to excess cortisol. Hypertension, not low blood pressure, and acne are common, but pitting is not specific.

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