The nurse is preparing to insert a nasogastric tube into a 6-year-old child. What will the nurse include when performing this procedure? (Select all that apply.)
A) Apply sterile gloves
B) Confirm placement with an x-ray
C) Secure the tube to the nose with adhesive tape
D) Lubricate the end of the tube with sterile water or water-soluble lubricating jelly
E) Determine the length of the tubing by measuring from the tip of the nose to the tip of the sternum
Ans: B, C, D
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A patient being followed for latent tuberculosis has been on INH therapy for 2 months. When reviewing the laboratory tests, the nurse notes that the liver function test results have become grossly abnormal. The nurse will instruct the patient to:
1. continue the drug unless jaundice, nausea, or itching develops. 2. continue the drug and have liver function tests repeated weekly. 3. stop the medication immediately. Other drugs will be prescribed. 4. stop the drug and restart when liver function returns to normal.
Of the Class 1A antiarrhythmics, procainamide is favored over quinidine because procainamide:
A. shows cardiac depressant activity at a much lower dose than quinidine does. B. is a natural product, whereas quinidine is not. C. produces less anticholinergic and alpha-blocking actions than quinidine does. D. exhibits more cholinergic activity than quinidine does.
To communicate with a patient who does not speak your language, you should
A) speak loudly. B) use gestures. C) face the interpreter. D) introduce medical terms.
Which intervention should be included in the plan of care for an infant with the nursing diagnosis of Excess Fluid Volume related to congestive heart failure?
a. Weigh the infant every day on the same scale at the same time. b. Notify the physician when weight gain exceeds more than 20 g/day. c. Put the infant in a car seat to minimize movement. d. Administer digoxin (Lanoxin) as ordered by the physician.