The nurse is unable to aspirate any residual volume from the client who receives intestinal tube feedings at a rate of 200 ml every 6 hours by intermittent gavage. Which should the nurse im-plement?
1. Insert a nasogastric tube.
2. Withhold the next feeding.
3. Notify the client's provider.
4. Administer the next feeding.
4
4. The nurse expects to aspirate no residual volume from the client who receives in-termittent intestinal tube feedings because the small intestines are unable to sequester fluid.
1 and 3. Inserting a nasogastric tube and notifying the provider are unnecessary.
2. Contraindications to the intestinal feeding are not presented, so, based on these data, the nurse can administer the feeding.
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The nurse is giving a bath demonstration for a group of new mothers. An important piece of information she gives this group is to:
a. apply baby powder generously to keep baby dry. b. cleanse perineum from front to back. c. use scented soap to make baby smell good. d. partially submerge head in water when shampooing.
Which information regarding fatty streaks does the pathophysiology student learn?
a. Fatty streaks progressively damage vessel walls. b. Fatty streaks are capable of producing toxic oxygen radials. c. When present, inflammatory changes occur to the vessel walls. d. Oxidized low-density lipoproteins (LDLs) are involved in their formation. e. Fatty streaks are formed by killer T cells filled with oxidized LDLs.
Which postoperative order does the nurse clarify with the surgeon before discharging the client who just had arthroscopic surgery on the right knee?
a. Keep the right leg elevated on a soft pil-low for 12 hours. b. Maintain non–weight bearing by right leg for 48 hours. c. Use ice on the knee for 24 hours. d. Administer two tablets of oxyco-done/APAP (Tylox) every 4 hours for pain.
Nursing knowledge that is needed in order to enable empowerment includes:
a. ethical principles and decision-making process. b. values development and their impact on choices. c. scientific principles and evidence-based practice. d. a and b. e. all of the above.