A patient who is having difficulty clearing the airway, has a respiratory rate of 28 and a temperature of 38.9° C. The patient has a nasogastric tube. What might this assessment indicate?
A) Angina
B) Hyperglycemia
C) Fistula
D) Aspiration pneumonia
Ans: D
Feedback: Pulmonary complications from nasogastric tube placement can occur from aspiration or impairment of clearing the airway. Signs and symptoms include difficulty clearing the airway, tachypnea, and fever.
You might also like to view...
Drug metabolites can be excreted from the body in:
1. saliva, tears, and blood. 2. urine, feces, and bone marrow. 3. feces, urine, and breast milk. 4. breast milk, blood, and urine.
The nurse provides teaching for the family of a 5-year-old client who has a one-and-a-half hip spica cast. Which does the nurse include in client teaching?
1. Client can sit in a chair with a dry cast. 2. Casts dry from the outside to the inside. 3. Two people safely turn and move client. 4. Turn and position client with support bar.
Making the decision to administer pain medication for one patient while waiting for a physician to call back about another patient and simultaneously grabbing box of gloves for a third patient is an example of
A. A simple process B. Cognitive stacking C. A nurse who is disorganized D. None of the above
A newborn is diagnosed with sepsis. What finding should the nurse use to suspect this health problem?
1. Irritability and flushing of the skin at 8 hours of age 2. Respiratory distress syndrome developed 48 hours after birth 3. Bradycardia and tachypnea develop when the infant is 36 hours old 4. Temperature of 97.0°F 2 hours after warming the infant from 97.4°F