The nurse is caring for a client with a Salem-sump double-lumen nasogastric (NG) tube to suction. The client complains of nausea and has mild abdominal distention. What is the nurse’s priority action?
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The nurse is caring for a client with a Salem-sump double-lumen nasogastric (NG) tube to suction. The client complains of nausea and has mild abdominal distention. What is the nurse’s priority action?
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- J.D. is a 64-year-old man who presents to the family practice complaining of increased urination at night. The patient has a past medical history of hypertension, hyperlipidemia, and coronary artery disease (CAD). Vital signs are T 97.5, P 85, R 16, and BP 120/60. What subjective information should the nurse obtain? The nurse is performing the physical examination of the patient’s genitals. What are the major structures of the male genitalia? The nurse needs to assess the patient for a hernia. What is the proper procedure for this assessment?The nurse is giving medications to a newly admitted patient who is to receive nothing by mouth (NPO status) and finds an order written as follows: “Digoxin, 250 mcg stat.” Which action is appropriate? a )Give the medication immediately (stat) by mouth because the patient has no intravenous (IV) access at this time. b )Clarify the order with the prescribing physician before giving the drug. c) Ask the charge nurse what route the physician meant to use. d )Start an IV line, then give the medication IV so that it will work faster, because the patient’s status is NPO at this time1) The nurse receives an order to administer enteral tube feedings to a client with dysphagia. The order states:Administer 1500 mLs of enteral feeding over 18 hours via infusion pump.What will the mLs per hour be? Round to the nearest whole number. 2) A nurse is caring for a client with a diabetic ulcer which is has a bacterial infection. Identify the lab values the nurse will review to monitor for infection
- The nurse is preparing the patient for placement of an indwelling urinary catheter. Which statement has priority for the nurse to ask the patient? A “Do you have a preference of which leg the tube is taped to?” B “When did you last attempt to void” C “Do you feel the need to void” D “Are you allergic to iodine or Betadine”The nurse is preparing to administer cefadroxil 1 g PO. The medication is supplied in 500-mg tablets. How many tablets should the nurse administer?For Medical-Surgical Nursing:A patient underwent exploratory laparatomy, salpingo-oophorectomy, and appendectomy.Please discuss the pathophysiology of intra-abdominal hematoma. Please include a simple flowchart.
- A 45-year-old woman with no significant medical history presents with acute abdominal pain, nausea, and vomiting. She describes the pain as sharp and localized to the right lower quadrant of her abdomen. Her vital signs are stable, but she appears in distress. The nurse must conduct a thorough assessment and collaborate with the healthcare team to determine the cause of her symptoms and plan appropriate interventions. Options: A) Prepare the patient for immediate surgery, suspecting appendicitis. B) Administer pain medication and wait for further diagnostic tests. C) Encourage clear liquid diet and reassess in a few hours. D) Perform a pelvic exam and consider gynecological causes.The nurse is caring for a client who is receiving continuous tube feedings via a nasogastric (NG) tube. Which of the following actions should the nurse take? Click the exhibit button for additional client information. 01. 02. Check the amount of gastric residual. Administer prescribed prochlorperazine. О3. Clamp the NG tube and discontinue the tube feedings. 04. Administer prescribed oxygen at 4 L/min via nasal cannula.What priority action should the nurse take first after removing an IV from a clients arm and a catheter embolus is suspected?
- A patient who is taking oral tetracycline complains of heartburn and requests an antacid. Which action by the nurse is correct? a )Give the tetracycline, but delay the antacid for 1 to 2 hours.b) Give the antacid, but delay the tetracycline for at least 4 hours.c )Administer both medications together.d) Explain that the antacid cannot be given while the patient is taking the tetracycline.While inflating the balloon of a pulmonary artery catheter (PAC) with 1.0 mL of air to obtain a pulmonary artery occlusion pressure (PAOP), the nurse encounters resistance. What is the best nursing action ? a) add an additional 0.5 mL of air to the balloon and repeat the procedure. b) Advance the catheter with the balloon deflated and repeat the procedure. c) Deflate the balloon and obtain a chest x-ray study to determine line placement. d) Lock the balloon in the inflated position and flush the distal port of the PAC with normal saline asapThe nurse is reviewing the postoperative prescriptions for a client who has just returned from surgery and notes that the surgeon has prescribed lepirudin. Which is this medication prescribed to prevent?