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Questions 149

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Extract:


Question 1 of 5

The nurse is completing admission on a client with possible esophageal cancer. Which finding would not be common for this diagnosis?

Correct Answer: C

Rationale: Esophageal cancer commonly presents with dysphagia, foul breath (due to tumor necrosis), and chronic hiccups (from diaphragmatic irritation). Diarrhea is not typically associated with esophageal cancer.

Question 2 of 5

A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to:

Correct Answer: B

Rationale: A nasogastric tube decompresses the stomach, preventing nausea and aspiration post-laryngectomy.

Question 3 of 5

When administering a capsule that is individually wrapped to a client, when should the wrapping be removed?

Correct Answer: D

Rationale: Removing the wrapping at the bedside (
D) ensures the client sees the medication, enhancing safety and trust.

Question 4 of 5

The nurse is assisting a client who has experienced a left-sided cerebral vascular accident. The client requires assistance with personal hygiene. Which intervention should the nurse do initially?

Correct Answer: D

Rationale: Assessing the client’s abilities and deficits first guides appropriate hygiene assistance, considering left-sided neglect or weakness.

Question 5 of 5

The client is having fetal heart rates of 100-110 beats per minute during the contractions. The first action the nurse should take is to:

Correct Answer: B

Rationale: Turning the client to her side improves uteroplacental perfusion, addressing fetal bradycardia during contractions.

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