The nurse is caring for a patient who has had a nasogastric tube in place for 24 hours. The pH of the aspirate is 8.0, which most likely indicates:
A) Gastric aspirate
B) Intestinal aspirate
C) Pleural aspirate
D) Tracheoesophageal aspirate
Ans: C
Feedback: Normal gastric aspirate has a pH of 0 to 4. Intestinal aspirate is 6 or greater, and respiratory aspirate is 7 or greater.
You might also like to view...
A nurse administered a patient's scheduled oral dose of 20 mg furosemide (Lasix) at 8 AM this morning. This drug administration would have a bearing on which of the following assessments?
A) Pedal pulses and ankle circumference B) Intracranial pressure (ICP) and cognition C) Heart rate and rhythm D) Assessment of food and fluid intake
The nurse is notified when the patient, newly admitted with liver and gallbladder disease, complains of pain in the right midback and asks for some pain medication
As the basis for the assessment, the nurse uses knowledge of pain to determine that the patient: 1. is just complaining to see if the staff will give out pain meds. 2. has referred pain sensations and the nurse should follow orders for pain medica-tion administration. 3. has an injury on the back from an unknown cause that needs immediate assess-ment. 4. is a chronic complainer with anxieties about his condition.
The purpose of the debriefing process is:
a. to provide additional lecture time. b. to provide time for the facilitator to critique the student's performance. c. to promote self-reflection. d. to provide time for participants to critique other participants' performances.
A nurse is performing a physical examination on a clients of various cultures. A client from which group would the nurse expect to find the greatest amount of body odor from perspiration?
A) Inuit B) Asian C) Caucasian D) Native American