A client with peptic ulcer disease vomits undigested food after eating breakfast. The nurse notes abdominal distention. What intervention should the nurse anticipate will be imple-mented for this client?
A. Insertion of a nasogastric tube
B. Insertion of a jejunostomy tube
C. Administration of an antiemetic
D. Administration of H2-receptor antagonists
A
Symptoms of abdominal distention and nausea and vomiting of undigested food signal pyloric obstruction. Treatment is aimed at decompression of the stomach by an NG tube and restoration of fluid and electrolyte balance.
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A public health nurse has reviewed local data about the incidence and prevalence of burn injuries in the community. These data are likely to support what health promotion effort?
A) Education about home safety B) Education about safe storage of chemicals C) Education about workplace health threats D) Education about safe driving
During the assessment of a postpartum client 24 hours after delivery, the nurse palpates the firm uterine fundus in the midline, at the level of the umbilicus. The nurse's first action should be to:
A) encourage the woman to void. B) press the call bell and summon help. C) let the client know that this is normal recovery. D) massage the fundus.
Insurance companies use DRGs to determine
A) if the patient has recovered from his or her condition. B) the efficiency of the hospital staff. C) how many hospital days they will pay for. D) what potential risks may harm the patient.
On arrival in the emergency department, a patient who was in a motor vehicle accident is apprehensive, confused, and hypotensive. The patient has tachycardia, oliguria, and cool clammy skin. What should the nurse do first?
a. Cover patient with warm blankets. b. Perform a rapid head-to-toe assessment. c. Obtain patient's medical history from family. d. Reorient the patient to person, place, and time.