When preparing to administer medication via a nasogastric tube, the nurse aspirates a large volume of residual. The nurse should first:
A. Notify the health care provider immediately
B. Administer the medication with more fluid
C. Return the aspirate and withhold the medication
D. Attach the nasogastric tube to suction to remove additional volume
C
C. The aspirate is returned and the medication is withheld in the case of a residual of more than 100 ml.
A. The health care provider should be notified after the aspirate is returned and the medication is held.
B. Additional fluid would not be administered if the client had a large residual.
D. Use of suction would require an order from the provider.
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While the nurse is taking the history of a 10-year-old child, the parents admit to owning firearms. An appropriate safety measure for the nurse to suggest would be which of the following?
1. Keeping all the guns put away and out of the child's reach 2. Taking the child to a shooting range for lessons on how to use a gun properly 3. Storing the guns and ammunition in the same place 4. Using a gun lock on all firearms in the house
Which IV order does the nurse question?
a. Flush Groshong catheter with 10 mL normal saline every 8 hours. b. Infuse 20 mEq potassium chloride in 1000 mL D5W at 50 mL/hr. c. Infuse 500 mL normal saline over 1 hour. d. Infuse 0.9% normal saline at keep vein open (KVO) rate.
The Human Genome Project (HGP) has been the subject of extensive attention, both in the healthcare community and in the public at large. Which of the following bioethical issues is most applicable to the HGP?
A) The HGP was conducted with little participation from developing countries. B) The HGP did not result in the number or quality of medical applications that were originally hoped. C) The HGP provides information that has the potential to influence the selection of behavioral attributes. D) The HGP calls into question many of the practices that have been accepted in Western medicine.
A client who was employed as a corporate manager before being laid off says to the nurse, "My wife thinks that I should work in a menial job to maintain our lifestyles until I find another job as a corporate manager, but I don't feel I should have to humiliate myself like that." Which nursing response would be therapeutic?
A. "Have you shared your feelings with your wife?" B. "You seem to feel that a less prestigious job would be humiliating for you." C. "Oh, I agree with you. Let her get another job if she needs that much money." D. "How soon will you be able to find work? If this is permanent, you may need to swallow your pride."