The nurse is giving medications through a percutaneous endoscopic gastrostomy (PEG) tube. Which technique is correct?
a. Administering the medications using a 3-mL medication syringe
b. Applying firm pressure on the syringe's piston to infuse the medication
c. Flushing the tubing with 30 mL of saline after the medication has been given
d. Using the barrel of the syringe, allowing the medication to flow via gravity into the tube
ANS: D
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A nurse assesses a client who has psoriasis. Which action should the nurse take first?
a. Don gloves and an isolation gown. b. Shake the client's hand and introduce self. c. Assess for signs and symptoms of infections. d. Ask the client if she might be pregnant.
An opioid-naà¯ve client experiences acute pain after surgery and is prescribed opioid therapy. The nurse would be especially alert for the development of which of the following?
A) Pruritus B) Severe headache C) Respiratory depression D) Urticaria
During the assessment of a patient's ears, the nurse sees a white substance on the tympanic membrane. This finding would be indicative of:
a. pus in the middle ear c. scarring b. infection d. osteoma
Mr. M takes warfarin for anticoagulation following a prosthetic aortic valve replacement. He is overall healthy, and since the surgery has begun to exercise, follow a cardiac diet, and use numerous vitamins and natural supplements
At his clinic visit, he tells the nurse that he is taking ginkgo biloba daily. The nurse reports this to his primary care provider because: 1. Ginkgo biloba alters blood clotting and when combined with warfarin could lead to prolonged bleeding times. 2. Ginkgo biloba plays a role in synthesis of clotting factors and can increase the risk of clot formation. 3. Warfarin may decrease the effect of ginkgo biloba and decrease the international normalized ratio (INR). 4. Warfarin may increase the production of clots.