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Questions 227

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Extract:

Thirty minutes after delivery the nurse finds that a mother's uterus is relaxed and the lochia is excessive.


Question 1 of 5

The fist action by the nurse should be to:

Correct Answer: D

Rationale: Massaging the uterus promotes contraction, reducing excessive lochia and preventing hemorrhage.

Extract:

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


Question 2 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:


Question 3 of 5

A nurse is caring for a patient with major depressive disorder. Which of the following interventions is most appropriate?

Correct Answer: C

Rationale: Group activities promote socialization and reduce isolation in depression, supporting recovery. Encouraging alone time or avoiding feelings worsens symptoms, and expression should be encouraged therapeutically.

Extract:

Steatorrhea:


Question 4 of 5

Steatorrhea:

Correct Answer: A

Rationale: Steatorrhea involves greasy, fatty stools due to fat malabsorption.

Extract:

The patient is taking antidepressant drug, Elavil. The spouse of the patient complains that the dosage of the drug needs to be increased because no improvement is noted. The patient has been taking the drug for the last 3 days and no improvement is noted.


Question 5 of 5

The most appropriate nursing response would be:

Correct Answer: B

Rationale: Elavil, a tricyclic antidepressant, typically takes 3–4 weeks to show therapeutic effects.

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