The provider wants to remove the client's NGT with low suction to discharge the client. Which does the nurse implement to determine whether the client is ready for discharge?
1. Assess the client for self-care at home.
2. Aspirate the gastric secretions for 2 hours.
3. Offer food and fluid before tube removal.
4. Clamp tube for 4 hours and reassess client.
4
4. The provider set the criterion for client discharge so the nurse evaluates client rea-diness for discharge by determining client readiness for NGT removal. The nurse de-termines whether the client is a suitable candidate by clamping the NGT and assesses the client for nausea, vomiting, distention, or discomfort. After removing the NGT, the nurse slowly progresses the client's diet to ease the client into taking food and fluid by mouth and continues to assess the client for nausea, vomiting, discomfort, and distention.
1. Any client's discharge includes client ability for self-care; however, the client is not going home with the NGT so this evaluation does not help to meet the provider's criterion.
2. If the client's gastrointestinal tract is functioning, the nurse expects the stomach to be empty especially since the NGT has had low suction.
3. The nurse avoids offering food or fluid by mouth with the NGT in place to avoid the risk of aspiration.
You might also like to view...
Your patient is a 43-year-old female golfer who complains of arm pain. On physical examination, there is point tenderness on the elbow and pain when the patient is asked to flex the wrist against the clinician's resistance. These are typical signs of:
A. Carpal tunnel syndrome B. Osteoarthritis of the wrist C. Epicondylitis D. Cervical osteoarthritis
A postoperative patient's nasogastric drainage has been 500 mL in the last 8 hours. The nurse would assess this patient for findings associated with which acid-base imbalance?
1. Metabolic alkalosis 2. Metabolic acidosis 3. Respiratory acidosis 4. Respiratory alkalosis
The school nurse is walking through the lunchroom when one of the children says she feels strange after switching her lunch with her friend. Which assessment would be most important?
A) Asking if she has a rash anywhere B) Checking if she has any nausea C) Determining if her throat itches D) Asking if she has abdominal pain
MC The major advantage of a subcutaneous port is
A. No flushing is required. B. Less risk of infection. C. Painless accessibility. D. Nurse can insert.