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Question 1 of 5

The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse would expect to find which of the following responses?

Correct Answer: B

Rationale: This response is expected with metoclopramide, in addition to increasing gastric emptying.

Question 2 of 5

A 48-hour-old male infant is ordered to have phototherapy. When his mother questions the nurse about its purpose, the nurse explains that phototherapy:

Correct Answer: C

Rationale: The instillation of erythromycin ophthalmic preparation, not phototherapy, prevents ophthalmia neonatorum. The administration of vitamin K (AquaMEPHYTON) assists the infant's clotting mechanism. Excessive bilirubin accumulates when the infant's liver cannot handle the increased load caused by the breakdown of red blood cells postnatally. This excessive bilirubin seeps out of the blood and into the tissues, staining them yellow. Phototherapy accelerates the removal of bilirubin from the skin by breaking it down into substances that can be excreted in stool or urine. Phototherapy decreases levels of unconjugated bilirubin, thereby preventing kernicterus.

Question 3 of 5

The nurse is caring for a client with cancer of the pancreas. Which finding indicates involvement of the bile ducts?

Correct Answer: A

Rationale: Pancreatic cancer can obstruct bile ducts causing bilirubin buildup and dark urine (bilirubinuria). Petechiae indicate bleeding dark stools suggest GI bleeding and steatorrhea reflects fat malabsorption not bile duct involvement.

Question 4 of 5

A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to:

Correct Answer: C

Rationale: A recheck after antibiotic therapy for otitis media confirms resolution of the infection, ensuring no persistent effusion or complications. Hearing tests or new prescriptions are not routinely needed.

Question 5 of 5

Which instruction should be given to the client who has been prescribed a dry powder inhaler for treatment of COPD?

Question Image

Correct Answer: A, D, E

Rationale: Dry powder inhaler use involves removing the cap and shaking (
A), placing the mouthpiece in the mouth (
D), and weekly dry cleaning (E). Rinsing (
B) risks moisture damage, and spacers (
C) are typically for metered-dose inhalers.

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