The nurse is aspirating the contents of a client's nasogastric tube before providing a scheduled feeding. Which of the following would indicate that the tube is in the correct location?
a. Serous fluid
b. Tan mucus
c. Cloudy green fluid
d. Clear yellow fluid
ANS: C
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The nurse is performing a nutritional assessment of an older adult client who has reported a 10-pound weight loss in the last 6 weeks with no history of dieting. If no disease process is found, the nurse is aware that weight loss can result from what issue for this age group?
A. The client attends a daily meal program for senior citizens. B. The client appears to have loose, ill-fitting dentures. C. The client lives with a daughter who fixes dinner every night. D. The client has a regular elimination schedule.
The process for ensuring that permitting requirements are met is
a. Enforcement b. Compliance c. Contracting d. Consequence
An 80-year-old patient with congestive heart failure has a viral upper respiratory infection. The patient asks the primary care NP about treating the fever, which is 38.5° C. The NP should:
a. recommend acetaminophen. b. recommend high-dose acetaminophen. c. tell the patient that antibiotics are needed with a fever that high. d. tell the patient a fever less than 40° C does not need to be treated.
A patient asks, "Why is touching my toes necessary? This is a sports physical examination, not exercise class." What is the most appropriate response by the nurse?
a. "This is the best way to check for symmetry of your arms." b. "I am looking at the stretch of your ham strings." c. "This allows me to see how straight your spinal column is." d. "I am assessing the flexion of your spine."