The nurse prepares to insert a nasointestinal tube into a patient. Which does the nurse implement for proper tube placement?
a. Measures from the nose to the earlobe to the xiphoid process
b. Removes the guidewire after verifying placement
c. Places the patient on the left side until ve-rifying placement
d. Anchors the tube with tape after insertion
B
The nurse maintains the guidewire in place until intestinal placement is verified because, once it is removed, it cannot be reinserted. If the tube needs repositioning, the nurse cannot manipulate it effectively. The nurse measures from the tip of the nose to the earlobe to the xiphoid process and adds 20 to 30 cm for a proper length. Positioning the patient on the left or right side does not fa-cilitate migration of the tube into the intestines. The nurse anchors the nasointestinal tube in place after placement in the jejunum is verified.
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Which defect results in increased pulmonary blood flow?
a. Pulmonic stenosis b. Tricuspid atresia c. Atrial septal defect d. Transposition of the great arteries
What will a health care provider include in medication teaching for a patient who will be starting a monoamine oxidase inhibitor (MAOI) medication after ending treatment with sertraline hydrochloride (Zoloft)?
a. "Here is some information concerning the foods you must avoid when you are taking your new medication. In 2 weeks, after your last dose of Zoloft, we will meet and I will give you a prescription for your MAOI and answer any questions you may have.". b. "After you have been off Zoloft for 1 week, come see me. I will order the new medication for you. This list includes all the foods you will not be able to eat while taking your new medicine. We'll review your diet and medication when we meet, and we will get a blood sample as well.". c. "After 4 weeks off Zoloft, come see me. The prescription for your new medication will be ready along with a list of foods you will need to avoid once you start taking the medication. I'll order some blood work at that time as well.". d. "After 2 days off Zoloft, come in to see me before going to work. I'll give you a prescription for the new medication, and we can review the foods you will need to avoid while taking the new medication.".
Which maternal–child patient should the nurse see first?
1. Blood type O, Rh-negative 2. Indirect Coombs' test negative 3. Direct Coombs' test positive 4. Blood type B, Rh-positive
A female patient with baldness asks a nurse about the safety and efficacy of minoxidil (Rogaine). What will the nurse tell the patient?
a. Hair regrowth is most effective when baldness has developed recently. b. Minoxidil cannot be used by female patients. c. Once hair has been restored, minoxidil may be discontinued, because hair loss will stop. d. Systemic side effects, such as headaches and flushing, are common.