A client is being treated for bleeding esophageal varices with an esophagogastric tube. Which of the following nursing interventions is considered the priority for the care of this client?
A. Keeping the client sedated to prevent dislodgement of the tube
B. Maintaining balloon pressure between 15 and 20 mm Hg
C. Irrigating the gastric lumen with normal saline
D. Suctioning the oral cavity of secretions
D
Maintaining airway patency is the primary nursing intervention for this client. The nurse suctions oral secretions to prevent aspiration and occlusion of the airway.
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A female patient asks the nurse how much caffeine is safe to consume per day. What is the recommended amount of caffeine for a nonpregnant woman?
A) 125 mg of caffeine B) 250 mg of caffeine C) 500 mg of caffeine D) 1 g of caffeine
The nurse is caring for a patient who sustained a moderate head injury following a bicycle accident. The nurse's most recent assessment reveals that the patient's respiratory effort has increased. What is the nurse's most appropriate response?
A) Inform the care team and assess for further signs of possible increased ICP. B) Administer bronchodilators as ordered and monitor the patient's LOC. C) Increase the patient's bed height and reassess in 30 minutes. D) Administer a bolus of normal saline as ordered.
The student nurse working for a nurse researcher recognizes that the researcher will use descriptive statistics to do which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. Describe a set of data. 2. Summarize a set of data. 3. Report the facts. 4. Identify certain trends. 5. Allow conclusions to be drawn. 6. Use a small sample size.
The nurse teaches a client that luteinizing hormone (LH) is important in the ovarian cycle for which purposes? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Proliferation of the endometrial mucosa 2. Ovulation 3. Corpus luteum development 4. Maturation of the ovarian follicle 5. Cyclic changes that allow pregnancy not to occur