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Questions 149

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Extract:


Question 1 of 5

The diagnostic work-up of a client hospitalized with complaints of progressive weakness and fatigue confirm a diagnosis of myasthenia gravis. The medication used to treat myasthenia gravis is:

Correct Answer: A

Rationale: Neostigmine (Prostigmine) is a cholinesterase inhibitor used to improve muscle strength in myasthenia gravis.

Question 2 of 5

The nurse on a physical rehabilitation unit is assigned a 63-year-old male client post-amputation of his left lower limb above the knee two weeks prior. The client has a history of peripheral vascular disease due to diabetes mellitus. Which statement by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Pain after wrapping the stump may indicate improper wrapping or complications, requiring further assessment and education.

Question 3 of 5

In caring for a critically ill client with a nasogastric tube (NGT) for enteral feeding, which action by the nurse demonstrates competency in NGT care? Select all that apply.

Correct Answer: A, C, E

Rationale: Checking residuals for continuous and bolus feedings and returning residuals (unless >250 mL) are standard. Low Fowler’s increases aspiration risk, and tubing change frequency varies by policy.

Question 4 of 5

A student nurse overhears her instructor using the term pink puffer. The student knows this term refers to a client with which condition?

Correct Answer: C

Rationale: Pink puffer' describes emphysema patients, who maintain oxygenation (pink) but hyperventilate (puffer) due to alveolar destruction.

Question 5 of 5

The nurse is caring for a client who has just returned from surgery for an ascending colostomy. The nurse plans to include reinforcement teaching for the client and spouse. Which statements should the nurse include in the teaching? Select all that apply.

Correct Answer: C,D

Rationale: A healthy stoma is reddish-pink, moist, and protrudes slightly (
D). Initial stools are liquid, becoming formed over time (
C). Function typically starts in 2-5 days, not 24 hours (
A), and significant bleeding (
B) is abnormal.

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