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Questions 149

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Question 1 of 5

The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

Correct Answer: A

Rationale: Esomeprazole is most effective when taken 30 minutes before a meal to reduce acid production during digestion.

Question 2 of 5

When caring for a ventilator-dependent client who is receiving tube feedings, the nurse can help prevent aspiration of gastric secretions by:

Correct Answer: B

Rationale: Elevating the head of the bed 30-45° reduces the risk of aspiration in ventilator-dependent clients.

Question 3 of 5

The nurse has a client complaining of chest pain. Where should the nurse place the V5 lead for a 12-lead EKG?

Correct Answer: A

Rationale: The V5 lead is placed in the left anterior axillary line at the fifth intercostal space for a 12-lead EKG.

Question 4 of 5

The nurse should be particularly alert for which one of the following problems in a client with barbiturate overdose?

Correct Answer: C

Rationale: Barbiturate overdose primarily causes respiratory depression, leading to apnea, which is life-threatening and requires immediate intervention.

Question 5 of 5

A client with a diagnosis of passive-aggressive personality disorder is seen at the local mental health clinic. A common characteristic of persons with passive-aggressive personality disorder is:

Correct Answer: B

Rationale: Passive-aggressive personality disorder is characterized by underlying hostility expressed indirectly through behaviors like procrastination, stubbornness, or intentional inefficiency.

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