The patient is concerned about leakage of gastric contents out of the gastric sump tube the nurse has just inserted. What would the nurse do to prevent reflux gastric contents from coming through the blue vent of a gastric sump tube?
A) Prime the tubing with 20 mL of normal saline.
B) Keep the vent lumen above the patient's stomach level.
C) Maintain the patient in a high Fowler's position.
D) Have the patient pin the tube to the thigh.
B
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The plan of care for a client who has demonstrated outbursts of physical violence against his family
when frustrated and periods of remorse after each outburst would be considered successful when the client a. expresses frustration verbally instead of physically. b. agrees to seek counseling at a future time. c. explains the rationale for his behavior to the victim. d. identifies three personal strengths.
Wearing poorly fitting shoes may result in which condition?
1) Tinea pedis 2) Plantar wart 3) Excoriation 4) Ingrown toenail
Which client is most at risk for the development of acute respiratory acidosis?
A. 58-year-old man with allergic rhinitis and sinusitis B. 28-year old woman with type 1 diabetes who has a urinary tract infection C. 68-year-old woman who has long-standing emphysema and is now undergoing continuous nasogastric suctioning D. 38-year-old, 6' 7" man being mechanically ventilated with a tidal volume of 500 mL at 15 breaths/minute
A nurse has administered an intramuscular injection. What will the nurse do with the syringe and needle?
A) Recap the needle and place it in a puncture-resistant container. B) Do not recap the needle and place it in a puncture-resistant container. C) Break off the needle, place it in the barrel, and throw it in the trash. D) Take off the needle and throw the syringe in the patient's trash can.