A patient has a Salem sump to lower intermittent suction. Nursing interventions include
a. prevention of esophageal erosion and stricture.
b. prevention of dry mouth.
c. prevention of ulceration of the nares.
d. irrigating the tube every 4 hours or as ordered by the health care provider.
D
Interventions include irrigating the tube every 4 hours with normal saline, ensuring the blue air vent of the Salem sump is patent and maintained above the level of the patient's stomach, and providing frequent mouth and nares care. Nursing management focuses on preventing complications common to this therapy, for example, ulceration and necrosis of the nares, esophageal reflux, esophagitis, esophageal erosion and stricture, gastric erosion, and dry mouth and parotitis from mouth breathing.
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A 17-year-old sexually active female comes to the clinic requesting a pelvic exam. She has complaints of pelvic pain and a heavy vaginal discharge. She states she has had a sore throat for about a week
In reviewing her chief complaints and lab work, the nurse suspects an STI diagnosis. Which additional assessment information should the nurse collect? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Risk factors, including unprotected sex 2. List of names of all sexual partners 3. Estimated time frame of presenting symptoms 4. Attempts at self-treatment of symptoms
The patient has been using crutches for the past 2 weeks. When she comes for her follow-up examination, she complains of tingling and numbness in her hands and upper torso. Possible causes of these symptoms are:
a. the patient's elbows are flexed 15 to 30 degrees when using the crutches. b. crutch pad is approximately 2 inches below the patient's axilla. c. patient holds the cane 4 to 6 inches to the side of her foot. d. handgrip does not allow for elbow flexion.
The nurse is teaching a couple pregnant for the first time. Which statement made by the couple about prenatal classes indicates that additional information is necessary?
1. "Facilitate better communication between both partners." 2. "Eliminate the risk of needing a vacuum extraction or cesarean birth." 3. "Help parents cope with the discomforts and unknowns of childbirth." 4. "Encourage participants to write a list of their requests for labor and birth."
A woman calls the emergency department and says, "My 2-year-old just swallowed about 20 of my magnesium tablets." What direction should the nurse provide?
1. "Call 911 to bring your child to the emergency room immediately." 2. "Watch your child for decreased breathing." 3. "Give your child a glass of milk." 4. "Your child may be sleepy but will not have any permanent damage." 5. "Give your child a laxative tonight and come to the emergency room in the morning."