A client who has undergone a fundoplication wrap for hernia repair has returned from the postanesthesia care unit with a nasogastric tube draining dark brown fluid. What is the nurse's priority action at this time?
A. Notify the physician.
B. Document the finding as the only action.
C. Clamp the nasogastric tube for 30 minutes.
D. Irrigate the nasogastric tube with normal saline.
B
After fundoplication, drainage from the nasogastric tube is initially dark brown with old blood. This finding is expected and requires only documentation. The drainage should become yel-low-green within 8 hours after surgery.
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The mother of a child with hemophilia asks the nurse how long her child will need to be treated for hemophilia. What is the best response to this question?
a. "Hemophilia is a lifelong blood disorder." b. "There is a 25% chance that your child will have spontaneous remission and treatment will no longer be necessary." c. "Treatment is indicated until after your child has progressed through the toddler years." d. "It is unlikely that your child will need to be treated for his hemophilia because your first child does not have the disease."
A client is receiving procainamide hydrochloride for treatment of a dysrhythmia. Which of the following would indicate the client is adhering to the medication instruction provided?
1. The client will take the medication with food. 2. The client will monitor the pulse and not take the medication if the pulse is less than 60. 3. The client will take the medication as directed, even when feeling well. 4. The client will take the medication on an empty stomach.
During the attempted resuscitation of a man in V-Fib cardiac arrest, your protocols call for the administration of 1.5 mg/kg of lidocaine. You have prefilled syringes of lidocaine in a concentration of 100 mg/5 mL. The patient weighs 180 lb. How many milliliters will you administer?
A. 6.5 B. 6.2 C. 6.8 D. 5.5
A patient receives a chemical burn to the left side of the face and right wrist. Where does this patient need to be treated?
A. Burn center B. Healthcare provider's office, and then at home C. Emergency department D. Outpatient ambulatory clinic