The nurse is preparing to insert a patient's ordered NG tube. What factor should the nurse recognize as a risk for incorrect placement?
A) The patient is obese and has a "short neck."
B) The patient is agitated.
C) The patient has a history of gastroesophageal reflux disease (GERD).
D) The patient is being treated for pneumonia.
Ans: B
Feedback:
Inappropriate placement may occur in patients with decreased levels of consciousness, confused mental states, poor or absent cough and gag reflexes, or agitation during insertion. A "short neck," GERD, and pneumonia are not linked to incorrect placement.
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What action must occur to prove a breach of duty?
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The nursing instructor teaches student nurses about chemotherapy for cancer. Which statement best explains why lung cancers are less sensitive to antineoplastic agents than other types of cancers?
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Which action is appropriate for the nurse to include in the client's health history portion of the nursing assessment?
1. Monitoring blood pressure. 2. Assessing lung sounds. 3. Discussing cultural traditions. 4. Monitoring temperature.