On assessment, the nurse notes the presence of bloody nasogastric tube drainage from a client who underwent an esophagogastrostomy 2 days ago. What conclusion should the nurse draw from this assessment?
A. The client's nasogastric tube requires irrigation.
B. The drainage is as expected for this time period.
C. The client's nasogastric tube requires repositioning.
D. The client has developed bleeding at the suture line.
D
The initial nasogastric drainage appears bloody, but should turn a yellow-green color by the end of the first postoperative day. If the bloody color continues, it may indicate bleeding at the suture line.
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The nurse reviews the procedure for breast self-examination (BSE) with a 25-year-old woman who has a family history of breast cancer
When reviewing the procedure, when will the nurse indicate as the best time for a woman to perform a breast self-examination? a. A few days before her period b. During her menstrual period c. On the last day of menstrual flow d. One week after the beginning of her period
A patient in the ICU is producing an increased amount of sputum and has a fever. The nurse suspects an infection
Which of the following characteristics of the patient's sputum would indicate a bacterial infection, as opposed to a viral infection? Select all that apply. A) Yellow B) Clear C) Blood-streaked D) Green E) Brown F) White
During a health history the nurse is concerned that a client is at risk for developing secondary Parkinson disease because of which information?
Standard Text: Select all that apply. 1. The client has a history of concussions. 2. The client was treated for meningitis while in college. 3. The client worked as a crop duster after the war. 4. The client waited tables at a local restaurant. 5. The client scuba dives during vacations.
A nurse is preparing to write a nursing diagnosis for a client. Which activity would the nurse need to do first?
A) identify the significant data B) cluster the cues C) synthesize cue clusters D) validate the diagnosis