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Questions 149

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Question 1 of 5

Which of the following statements best explains the rationale for placing the client in Trendelenburg position during the insertion of a central line catheter?

Correct Answer: A

Rationale: The Trendelenburg position increases venous filling in the upper body, making the subclavian or jugular veins easier to access for catheter insertion.

Question 2 of 5

The nurse is caring for a client with a permanent tracheostomy who is able to eat. Which is the correct action by the nurse in managing this tube?

Correct Answer: D

Rationale: Deflating the cuff during meals allows normal swallowing, reducing aspiration risk, and is maintained for 1 hour post-meal.

Question 3 of 5

A 46-year-old male has been placed under therapeutic hypothermic care after a myocardial infarction (MI). The nurse correctly explains to the family,

Correct Answer: C

Rationale: Therapeutic hypothermia post-MI slows metabolism, reducing cerebral oxygen demand and protecting the brain from ischemic injury.

Question 4 of 5

A nurse is at a local swimming pool, and a man collapses with a cardiac arrest after exiting the pool. The man is still wet when the nurse begins cardiopulmonary resuscitation (CPR), and another person brings the automated external defibrillator (AED). Which of the following should the nurse do next?

Correct Answer: B

Rationale: Wiping the chest dry (
B) ensures AED pads adhere properly and deliver an effective shock. Applying pads on a wet chest (
A) risks ineffective defibrillation, continuing CPR (
C) delays defibrillation, and alcohol wipes (
D) are inappropriate.

Question 5 of 5

Following insertion of a nasogastric (NG) tube, the nurse aspirates the gastric contents to check the pH to determine if the NG tube is correctly placed. Which of the following pH values is consistent with gastric secretions?

Correct Answer: D

Rationale: Gastric secretions typically have a pH of 1.5-3.5, so a pH of 4 (
D) is consistent with correct NG tube placement in the stomach. Higher pH values (A, B,
C) suggest placement in the intestines or respiratory tract.

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