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Questions 148

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Question 1 of 5

The nurse has inserted a nasogastric tube and aspirated gastric contents to check the pH with color-coded pH paper. The aspirate is dark brown, and pH measures slightly less than 5 according to the color chart. What does this pH usually indicate?

Correct Answer: A

Rationale: A pH < 5 with dark brown aspirate indicates gastric placement (
A). Intestinal aspirate (
B) has pH > 6, respiratory (
C) is > 7, and results are conclusive (
D).

Question 2 of 5

The home health nurse is visiting a client who plans to deliver her baby at home. Which statement by the client indicates an understanding regarding screening for phenylketonuria (PKU)?

Correct Answer: B

Rationale: PKU screening is typically performed at 2-3 days of age to ensure accurate results, as earlier testing may yield false negatives.

Question 3 of 5

Which snack selection by a client with osteoporosis indicates that the client understands the dietary management of the disease?

Correct Answer: C

Rationale: Yogurt is rich in calcium, which is essential for bone health in osteoporosis management.

Question 4 of 5

The nurse is reviewing medication orders for his clients. Which order would necessitate contacting the health care provider?

Correct Answer: B

Rationale: Promethazine is contraindicated in children with Reye’s syndrome due to the risk of worsening neurological symptoms. Other orders are appropriate.

Question 5 of 5

When preparing a client for magnetic resonance imaging, the nurse should implement which of the following?

Correct Answer: C

Rationale: MRI safety requires removing jewelry and screening for metal implants to prevent injury from magnetic fields. The other actions are unnecessary or incorrect.

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