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Extract:

Which statement is best to document a patient's behavior in an unbiased way?


Question 1 of 5

The patient's hostility created difficulties for the nursing staff.'

Correct Answer: C

Rationale: Nursing documentation must be objective, describing specific actions without subjective judgments.

Extract:


Question 2 of 5

After abdominal surgery, a client has a nasogastric tube attached to low suctioning. The client becomes nauseated, and the nurse observes a decrease in the flow of gastric secretions. Which of the following nursing interventions would be MOST appropriate?

Correct Answer: B

Rationale: Nausea and decreased NG tube output suggest possible obstruction. Aspirating with a syringe confirms tube placement and checks for blockages by testing the pH of aspirate (0–4 indicates gastric placement). Irrigation (
A) uses normal saline, not distilled water, and only after placement confirmation. Antiemetics (
C) or tube replacement (
D) do not address the cause.

Question 3 of 5

A nurse is caring for a patient with a peptic ulcer. Which of the following medications should the nurse anticipate administering?

Correct Answer: A

Rationale: Omeprazole, a proton pump inhibitor, reduces acid production, promoting peptic ulcer healing. Metformin, lisinopril, and furosemide treat unrelated conditions.

Question 4 of 5

What interpersonal relief behavior is Ashley using?

Correct Answer: B

Rationale: Somatizing involves expressing emotional conflict, like Ashley's severe anxiety, through physical symptoms such as dizziness and nausea. The other behaviors do not match her presentation. Psychosocial Integrity

Question 5 of 5

The nurse is to obtain an apical-radial pulse on a client. Which statement is true regarding obtaining an apical-radial pulse?

Correct Answer: C

Rationale: Apical-radial pulse requires simultaneous measurement by two people to detect a pulse deficit, ensuring accuracy in conditions like atrial fibrillation.

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