When giving a medicine through a nasogastric (NG) tube, the nurse will first:
1. flush the tube with 30 mL of water.
2. check placement of the tube.
3. take the vital signs.
4. ask the patient if the tube is painful.
2
Make certain that the NG tube is in the stomach. Aspirate (take out) stomach contents with a sy-ringe, or inject (put in) 5 to 10 mL of air into the tube and listen for a gurgling sound in the ab-dominal area. This may be heard by placing a stethoscope over the stomach.
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A 75-year-old client is recovering from abdominal surgery. The physician has ordered morphine 2 to 6 mg every 4 hours prn for pain. As the nurse plans to administer this medication, what intervention would the nurse choose to administer this drug to an older person?
A) administer the highest dose of 6 mg B) administer the lowest dose of 2 mg C) avoid the narcotic for risk of addiction D) administer the dose only when the client asks for the medication
The nurse is communicating with a patient who has voiced concern regarding an upcoming high-risk procedure. The nurse demonstrates empathy by stating:
a. "Would you like to talk about your feel-ings regarding the procedure?" b. "My mother had the same procedure and did very well." c. "I can't imagine how you feel." d. "It must be difficult preparing for the procedure; how are you feeling?"
A nurse working rotating shifts may have disruptions of circadian rhythms. The nurse is at greater risk of developing:
A) Colon cancer. B) Heart disease. C) An upper respiratory infection. D) Spinal stenosis.
The nurse is preparing to administer a medication to a client on a medical-surgical unit. The median lethal dose of the drug is 40 mg, and the median effective dose is 10 mg. The nurse calculates the therapeutic index to be ________. Record your answer rounding to the nearest whole number.
Fill in the blank(s) with the appropriate word(s).