The client receives nasointestinal tube feedings by continuous drip from an open system. Which does the nurse implement?
1. Administer medication with 10 ml-syringe.
2. Change the feeding tube bag every 8 hours.
3. Add enough formula to bag to last 24 hours.
4. Check placement of tube with 60 ml-syringe.
4
4 and 1. The nurse checks tube placement and administers medication with a 60 ml-syringe to avoid injecting excessive positive pressure into the feeding tube.
2 and 3. The nurse changes the feeding tube bag every 24 hours and adds formula to the feeding tube bag to last up to 8 hours because 8 hours is the maximum time for-mula can hang in an open system.
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The nurse has reinforced teaching with a patient about diagnostic tests that evaluate eye muscle balance. Which of the following tests identified by the patient would indicate a correct understanding of the teaching? (Select all that apply.)
a. Electroretinography b. Corneal light reflex c. Fluorescein angiography d. Cover test e. Tonometer readings f. Computed tomography
The nurse instructs a married couple on the importance of treatment for a chlamydia infection. Which statements indicate that teaching was effective? Select all that apply
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A patient reports finding information about a health problem on Wikipedia. The nurse should realize that which of the following describes a wiki?
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The nurse assists the client to perform routine hygiene. The client's oxygen saturation (SaO2) is 90%. Which is the best intervention for the nurse to implement?
1. Limit self-care measures. 2. Increase self-care gradually. 3. Apply oxygen by facemask. 4. Reschedule routine hygiene.