The client who is 24 hours postoperative from abdominal surgery has light brown fluid with small particles that look like coffee grounds in the NG tube drainage. What is the nurse's best action?
A. Notify the physician.
B. Irrigate the tube with normal saline.
C. Clamp the tube and advance it 1 to 2 inches.
D. Document the finding as the only action.
A
This type of drainage indicates possible gastrointestinal bleeding and should be explored further as soon as possible.
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The nurse knows which of the following statements listed below relative to a client with malignant melanoma treated with alpha interferon (IFN-a) is accurate? Alpha interferon (IFN-a)
A) will kill certain microorganisms that may help spread the cancer. B) plays an important role in the modulation of the inflammatory response. C) helps keep all the blood levels at a higher level. D) controls the migration of leukocytes to their primary site.
Following an ophthalmologic exam with dilating drops, a patient calls the clinic to report eye pain and seeing halos around lights. The nurse realizes that this may be narrow-angle glaucoma due to the angle between the iris and cornea being blocked. Which advice should the nurse give to the patient?
A) "This is normal and will go away as the dilating drops wear off." B) "Have someone drive you to the clinic to be evaluated immediately." C) "Call the clinic in the morning if these symptoms continue." D) "Take acetaminophen to relieve the pain."
Which factor should the nurse include when teaching a parent about the care of a child in a Pavlik harness for hip dysplasia?
a. The harness may be removed with every diaper change. b. The harness is used to maintain the infant's hips in flexion and abduction and external rotation. c. The harness is only the first step of treatment. d. The harness is worn for only 2 weeks.
Toddlers have the ability to tell a parent where the pain is located
Indicate whether the statement is true or false