A nurse has just completed the insertion of a nasogastric (NG) tube. The nurse should verify placement by aspirating for gastric contents and checking the pH of the aspirate. The nurse recognizes that the pH of gastric contents should be between
1. 1 and 4.
2. 2 and 5.
3. 3 and 6.
4. 4 and 7.
ANS: 1
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A patient on long-term mechanical ventilation becomes very frustrated when he tries to communicate. Which of the following interventions should the nurse perform to assist the patient?
A) Assure the patient that everything will be all right and that he shouldn't become upset. B) Ask a family member to interpret what the patient is trying to communicate. C) Ask the physician to wean the patient off of the mechanical ventilator to allow the patient to talk. D) Ask the patient to write, use a picture board, or spell words with an alphabet board.
After each telehealth communication the nurse should
a. immediately document the content of the call in the client's record. b. inform the physician of the information or teaching given. c. schedule a later call to check on the client's progress. d. send the client a written form of the pertinent information.
The patient who has been in traction for bilateral femur fractures complains of constipation. To stimulate bowel action, the nurse will: (Select all that apply.)
a. provide prune juice from the snack cart. b. increase fluid intake. c. arrange for high-fiber foods such as cau-liflower and broccoli. d. give prescribed stool softeners. e. encourage milk products.
A male patient tells the nurse that he has needed to empty his bladder more frequently but when he tries, he only voids small amounts. Having to void during the night has also interrupted his sleep
The nurse realizes this patient is experiencing 1. altered renal nephron functioning. 2. decreased glomerular filtration rate. 3. decreased kidney efficiency. 4. reduced bladder tone or capacity.