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Questions 148

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Question 1 of 5

The nurse is caring for a client following a Whipple procedure. The nurse notes that the drainage from the nasogastric tube is bile tinged in appearance and has increased in the past hour. The nurse should:

Correct Answer: D

Rationale: Increased bile-tinged drainage may indicate a complication, such as a leak, requiring physician notification.

Question 2 of 5

Which diet is associated with an increased risk of colorectal cancer?

Correct Answer: C

Rationale: A diet high in fat and refined carbohydrates increases the risk of colorectal cancer due to prolonged intestinal transit time and exposure to carcinogenic metabolites.

Question 3 of 5

The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

Correct Answer: C

Rationale: Head lag is expected in a preterm newborn at 32 weeks due to underdeveloped neck muscle strength.

Question 4 of 5

A 32-year-old woman comes into the clinic for a well-woman exam and asks for information on an intrauterine device (IUD) for contraception. The nurse should explain that all of the following are potential risks EXCEPT

Correct Answer: A

Rationale: IUD risks include pelvic infections, abnormal bleeding, and ectopic pregnancy. Stroke is not a recognized risk associated with IUD use.

Question 5 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).

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