The nurse prepares to irrigate the client's NGT after a colon resection. Which intervention does the nurse implement to irrigate the NGT?

1. Observe sterile technique for each irrigation.
2. Inject 50 ml of warm tap water into the tube.
3. Gently instill 30 ml of normal saline solution.
4. Teach the nursing assistant on NGT irrigation.


3
3. The nurse instills normal saline solution to irrigate the NGT to maintain fluid and electrolyte balance and to minimize electrolyte depletion from hypotonic fluids.
1. The nurse uses clean technique for irrigating because the client's surgical site is farther down the gastrointestinal tract; however, the nurse uses sterile irrigating fluid for upper gastrointestinal surgery.
2. Water is usually acceptable for NGT irrigation and can be a better solution to re-move debris from within the NGT because it is hypotonic.
4. Irrigating the NGT is a nursing task the nurse cannot delegate because it requires clinical judgment and critical thinking skills.

Nursing

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The nurse preparing a client with acute leukemia for the induction phase of chemotherapy explains that the objective of this phase is to

a. decrease the number of monocytes. b. induce complete remission. c. reduce long bone pain and splenomegaly. d. "shock" the marrow into producing normal cells.

Nursing

A patient receiving long-term antibiotic therapy for an infected joint replacement begins to experience diarrhea, abdominal cramps, malaise, fever, and anorexia. What interventions should the nurse prepare to administer to this patient?

Select all that apply. 1. Maintain nothing by mouth status. 2. Prepare to administer metronidazole. 3. Insert a nasogastric tube for feedings. 4. Collect all urine for a 24-hour specimen. 5. Discontinue the currently prescribed antibiotic.

Nursing

What is the primary purpose of a community meeting?

a. Making assignments for patients' chores for the day b. Determining patients' eligibility for increases in privileges c. Encouraging patients to share their feelings and individual problems d. Providing a forum for patients to have input into daily program operations

Nursing

The ________ ensures that a received image falls in sharp focus on the retina.

Fill in the blank(s) with the appropriate word(s).

Nursing