A 20-year-old man with extensive facial injuries from a motor vehicle crash is receiving tube feedings through a percutaneous endoscopic gastrostomy (PEG). Which action will the nurse include in the plan of care?
a. Keep the patient positioned on the left side.
b. Check the gastric residual volume every 4 to 6 hours.
c. Avoid giving bolus tube feedings through the PEG tube.
d. Obtain a daily abdominal x-ray to verify tube placement.
b. Check the gastric residual volume every 4 to 6 hours
The gastric residual volume is assessed every 4 to 6 hours to decrease the risk for aspiration..
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The patient requires a full-thickness graft to cover a third-degree burn area. What part of the body can be used to harvest a full-thickness skin graft?
A) Face B) Back of the thigh C) Antecubital area D) Pectoral region
Mrs. W expresses concern about her 77-year-old husband, stating, "His mind seems to be going. He can't remember where he puts things. " Which of the following assessment tools would you administer to obtain further data on his cognitive functions?
a. Beck Depression Inventory (BDI) b. Folstein Mini Mental Status Examination (MMSE) c. Katz Index of Independence in Activities of Daily Living d. Recent Life Changes Questionnaire
Which of the following conditions is the most frequent cause of acute renal failure in children?
a. chronic urinary tract infections c. hemolytic uremic syndrome b. nephrotic syndrome d. acute glomerulonephritis
The Magnet Model, developed by the American Nurses Credentialing Center, encompasses five components that illustrate the model's premise for the need to maintain an effective nursing staff in health-care agencies. One of these components is:
A. Transactional leadership B. New knowledge, innovation, and im-provements C. An all certified and bachelor of science in nursing (BSN) prepared nursing staff D. Patient-focused philosophy of care