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Question 1 of 5

The nurse is caring for a client with a nasogastric tube in place. Assessment of the aspirate reveals a pH of 2.0. Which is the appropriate action?

Correct Answer: A

Rationale: This finding is within normal range for gastric aspirate of 0-4. Answers B, C, and D would not be appropriate or necessary due to the normal reading, so they're incorrect.

Question 2 of 5

When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?

Correct Answer: D

Rationale: Unexplained vaginal bleeding is a contraindication for hormone replacement therapy due to potential underlying pathology like endometrial cancer. The other options are not absolute contraindications. Health Promotion and Maintenance

Question 3 of 5

A nurse assigned to the rural health clinic is to administer a Mantoux test to a group of factory workers. The nurse should administer the test in each client's:

Correct Answer: C

Rationale: The Mantoux test is administered intradermally in the forearm for accurate reading of the tuberculin reaction. Thigh , buttock , and upper arm are incorrect sites.

Question 4 of 5

The nurse is working with a person who was just diagnosed with diabetes mellitus Type 2. What should the nurse teach the client first?

Correct Answer: B

Rationale: Dietary management is foundational for Type 2 diabetes control, often sufficient initially. Insulin may not be needed, and symptoms/complications are secondary.

Question 5 of 5

A client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first?

Correct Answer: D

Rationale: The nurse should assess the client's cardiac rhythm using electrocardiography because an elevated serum potassium level may lead to a life-threatening cardiac arrhythmia. The client's blood pressure may change, but only as a result of the arrhythmia.
Therefore, the nurse should assess blood pressure later. The nurse also can delay assessing respirations and temperature because these aren't affected by the serum potassium level.

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