Which of the following is an appropriate nursing intervention for a client with a nasogastric tube in place?
1. Tape the tube up and around the ear on the side of insertion.
2. Secure the tubing to the bed by the client's head.
3. Mark the tube where it exits the nose.
4. Change the tubing daily.
ANS: 3
Once placement is confirmed, a mark should be placed, either making a red mark or using tape, on the tube to indicate where the tube exits the nose. The mark or tube length is to be used as a guide to indicate whether displacement may have occurred. The tube should be taped to the nose, not to the ear. The tubing should be secured to the client's gown, not the bed. The tubing should not be changed daily, but it should be irrigated daily.
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A community health nurse has completed a community assessment and is now writing a community diagnosis for the problem. Which component of the diagnosis will be used to summarize the assessment data of the problem?
a. Identification of the health risk b. Evidence supporting the choice of priority c. The aggregate that needs the intervention d. The cause of the identified health problem
Primary functions of case managers include all of the following EXCEPT:
A) Communication B) Holistic approach C) Clinical expertise D) Medication administration
The emergency department nurse is assessing a female client with traumatic injuries. To assess whether or not the client's injuries have resulted from abuse, which question would be most appropriate for the nurse to ask the client?
A) "Is your partner being mean to you?" B) "Why do you think your husband has beaten you?" C) "It looks like someone has hurt you. Tell me about it." D) "Can you describe the person who did this to you?"
Name the parts of the female internal and external genitalia.
What will be an ideal response?