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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is preparing a handout on infant feeding to be distributed to families visiting the clinic. Which notation should be included in the teaching materials?

Correct Answer: A

Rationale: Solid foods should be added one at a time between 4-6 months. If the infant is able to tolerate the food, another may be added in a week. Iron fortified cereal is the recommended first food.

Question 2 of 5

A primigravida, 26 years old and 33 weeks gestation, is admitted to the hospital with painless vaginal bleeding. She reports that the bleeding, which started 2 hours ago, has lessened in amount. Which of the following measures should be included in the client's care?

Correct Answer: B

Rationale: Counting the number of pads used quantifies blood loss, aiding in the assessment of conditions like placenta previa, which causes painless bleeding.

Extract:

Which of the following clinical conditions exacerbates electrolyte excretion?


Question 3 of 5

Nasogastric feedings

Correct Answer: B

Rationale: Surgical drains remove fluid and electrolytes, exacerbating excretion.

Extract:

Mrs. Byron rushes into the ER carrying 2-year-old Amanda in her arms. She thrusts a half-empty bottle of aspirin at the nurse and states that he saw Amanda eating them just 30 minutes earlier. After confirming that Amanda had eaten at least six tablets of aspirin


Question 4 of 5

The nurse should

Correct Answer: B

Rationale: Gastric lavage is the priority to remove aspirin from the stomach, preventing further absorption.

Extract:


Question 5 of 5

A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:

Correct Answer: A

Rationale: Naloxone reverses opioid-induced respiratory depression and somnolence by antagonizing opioid receptors. The other medications have different indications and do not address opioid overdose. Pharmacological Therapies

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