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Questions 148

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Question 1 of 5

The physician has ordered a lumbar puncture for a client with suspected Guillain-Barre syndrome. The spinal fluid of a client with Guillain-Barre syndrome typically shows:

Correct Answer: B

Rationale: Guillain-Barre syndrome typically shows elevated protein levels in cerebrospinal fluid with a normal cell count, known as albuminocytologic dissociation.

Question 2 of 5

A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

Correct Answer: C

Rationale: Dinoprostone is used to induce uterine contractions and facilitate expulsion in a missed abortion.

Question 3 of 5

The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority?

Correct Answer: B

Rationale: The vital signs indicate shock, so contacting the physician for immediate intervention is the priority.

Question 4 of 5

The nurse is performing an assessment on a client with possible pernicious anemia. Which data would support this diagnosis?

Correct Answer: C

Rationale: A red, beefy tongue is a classic sign of pernicious anemia due to vitamin B12 deficiency affecting mucosal tissues.

Question 5 of 5

The nurse has inserted a nasogastric tube and aspirated gastric contents to check the pH with color-coded pH paper. The aspirate is dark brown, and pH measures slightly less than 5 according to the color chart. What does this pH usually indicate?

Correct Answer: A

Rationale: A pH < 5 with dark brown aspirate indicates gastric placement (
A). Intestinal aspirate (
B) has pH > 6, respiratory (
C) is > 7, and results are conclusive (
D).

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