A patient is admitted to the emergency department after ingesting a large number of tablets. Gastric lavage is ordered. What is the best nursing action during this procedure?
A) Insert a small-bore nasogastric tube to minimize aspiration risks.
B) Position the patient in the left lateral decubitus position with his head down.
C) Lavage the stomach with 200 mL of fluid until pill fragments are seen.
D) Initiate the lavage procedure no sooner than 2 hours after ingestion.
B
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While planning care for a 7-year-old patient, the nurse reminds the parents that children at this age are experiencing the "eraser" year. What does this mean?
A) The child wants to perform well. B) The child believes in magical thinking. C) The child is learning to write during this year. D) The child tends to "erase" misdeeds or lie excessively.
The nurse is teaching a client with a midline episiotomy about perineal care after a vaginal birth. Which statements by the client indicate she understands the teaching? (Select all that apply.)
a. "I will gently pat the perineum dry rather than wipe." b. "I will only use the perineal bottle after bowel movements." c. "I will use cold water in the perineal bottle as I cleanse." d. "I will use the perineal bottle without touching the perineum."
Which of the following interventions would be appropriate for a client who is being mechanically ventilated? (Select all that apply.)
1. Secure artificial airway. 2. Auscultate lungs every 4 hours and as needed. 3. Monitor endotracheal tube cuff pressure once per shift. 4. Provide alternative form of communication. 5. Apply vest and wrist restraints. 6. Monitor arterial blood gas analysis results and adjust ventilator as needed.
The nurse is preparing to discuss the modifying risk factors for breast cancer with a community group. Which risk factors should the nurse include in the discussion?
A. Diet. B. Physical activity. C. Alcohol use. D. Smoking. E. Obesity.