The nurse is providing care for a patient whose recent stroke has necessitated the use of a nasogastric tube for feeding while a longer-term solution is explored with the patient's family
In an effort to prevent aspiration, the nurse recognizes the need to accurately assess the tube's placement. How should this best be done?
A) Mark the tube's exit point from the patient's nares after an X-ray.
B) Aspirate 3 to 5 mL of fluid from the nasogastric tube and test the fluid's pH.
C) Inject 5 to 10 mL of air into the nasogastric tube while auscultating the patient's abdomen.
D) Aspirate some fluid from the tube and test the fluid for glucose using a testing strip.
A
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A community health nurse prepares for a new assignment. She has been assigned census tracts 131 and 132 . This large area crosses the border of two towns and includes 4,000 people
What components of the community must the community health nurse assess prior to beginning her new assignment? a. Income levels, health status, and relationships among groups b. Structure of the tracts, effectiveness of the community, and current status c. Number of clients with health problems compared with the number of healthcare providers d. Community organizations and beliefs about their role in the community
The nurse determines that the patient with a total laryngectomy has understood the discharge instructions when the patient says:
A) "I can go swimming if I stay in shallow water." B) "I should keep my living area well humidified." C) "I can continue to use powder when I finish my shower." D) "I should cover my stoma with a wool scarf in the winter."
The priority nursing intervention for a client experiencing a laryngospasm would be
a. administering 100% oxygen. b. calling the resuscitation team. c. positioning the client in high-Fowler position. d. starting in IV with a large-bore catheter.
Only the charge nurse is responsible for unit management and efficiency.
Answer the following statement true (T) or false (F)