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Questions 157

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Extract:


Question 1 of 5

The client diagnosed with gastroesophageal reflux disease (GERD) has undergone surgery for a hiatal hernia repair. The client has a nasogastric tube in place. Intravenous fluid replacement is to be at 125 mL/hr plus the amount of drainage. The drainage from 0800 to 0900 is 45 mL. At which rate should the IV pump be set for the next hour?

Correct Answer: 170

Rationale: Base rate (125 mL/hr) + drainage (45 mL) = 170 mL/hr for the next hour.

Question 2 of 5

The client is admitted to the medical unit complaining of severe abdominal pain. Which intervention should the nurse implement first?

Correct Answer: A

Rationale: Assessing for complications (e.g., perforation) is the first step in severe abdominal pain, per nursing process.

Question 3 of 5

The client has gastroesophageal reflux disease. Which HCP order should the nurse question?

Correct Answer: B

Rationale: Protonix is typically once daily for GERD; four times daily is excessive, warranting clarification.

Question 4 of 5

The public health nurse is discussing hepatitis with a client who is traveling to a third world country in one (1) month. Which recommendation should the nurse discuss with the client?

Correct Answer: B

Rationale: Hepatitis A vaccination prevents fecal-oral transmission, common in developing countries, per CDC travel guidelines.

Question 5 of 5

The client comes to the clinic complaining of itching on the left wrist near a wristwatch. The nurse notes an erythematous area along with pruritic vesicles around the left wrist. Which condition should the nurse suspect?

Correct Answer: A

Rationale: Itching, erythema, and vesicles near a wristwatch suggest contact dermatitis, likely from nickel allergy.

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