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Questions 227

NCLEX-PN

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Extract:

The day before a patient who has had a subtotal gastrectomy is to be discharged, the patient complains of perspiring and having epigastric discomfort about a half hour after eating lunch. The symptoms disappear within a few minutes.


Question 1 of 5

The nurse recognizes that the teaching about prevention is understood when the patient states, 'I can limit these symptoms by:

Correct Answer: D

Rationale: Small, low-carbohydrate meals reduce dumping syndrome symptoms post-gastrectomy.

Extract:


Question 2 of 5

How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?

Correct Answer: A

Rationale: Due to the high risk of bacterial growth in nutrient-rich TPN solutions, IV tubing should be changed every 24 hours. Health Promotion and Maintenance

Question 3 of 5

A nurse is caring for a patient with chronic heart failure. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

Correct Answer: A,C,D,E

Rationale: Daily weight tracks fluid status, diuretics reduce overload, fluid restriction prevents exacerbation, and activity improves cardiac function. High-sodium diets worsen heart failure.

Question 4 of 5

While writing a report at 3:15 in the afternoon, the nurse realizes that she forgot to chart the client's physical therapy, which occurred at 10:30 A.M. Which is the appropriate action for the nurse to take?

Correct Answer: B

Rationale: A late entry with the correct time (10:30 A.M.) ensures accurate documentation, maintaining the integrity of the medical record.

Question 5 of 5

The nurse in the outpatient clinic teaches the mother of a 10-year-old boy with asthma how to prevent future asthmatic attacks. The nurse would be MOST concerned if the mother made which of the following statements?

Correct Answer: B

Rationale: Raking leaves exposes the child to inhaled allergens (pollen, dust), a primary asthma trigger, increasing attack risk. Playing the tuba (
A), after-school activities (
C), and walking (
D) are generally safe unless exercise-induced asthma is present, which is not specified.

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