A nurse has just finished administering medications through a client's gastrostomy tube. The nurse would clamp the tube for at least how many minutes?
1. 5 to 10
2. 20 to 30
3. 60 to 90
4. 90 to 120
ANS: 2
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Luci, an RN, arrives at work. The nurse manager tells her that the ICU needs more help and as Luci is the most experienced RN on this unit, she is being reassigned to work in the ICU for the day
Luci tells the nurse manager that although she is the most experienced, she has never worked in the ICU. She shares her concerns with the nurse manager regarding the lack of familiarity with the technical equipment and protocols of the ICU. The nurse manager states that she understands Luci's concern and reluctance, however, Luci is to go to the ICU. The most appropriate action Luci should take is to: A) Refuse to go to the ICU. B) Go to the ICU and tell the charge nurse that she is ill and needs to go home. C) Go to the ICU and inform the charge nurse of the tasks she is able to perform and those tasks with which she feels she needs assistance. D) Call the nurse manager's supervisor and report her for unsafe delegation.
The nurse who is teaching methods of micturition stimulation would stress that the method that may have genitourinary risks is
a. the Credé maneuver. b. the Valsalva maneuver. c. "trigger" stimulation. d. vagal stimulation.
The client is experiencing urinary retention, and the health care provider is contacted. The nurse anticipates a medication that will be ordered to promote emptying of the bladder is:
1. Oxybutynin chloride (Ditropan) 2. Bethanechol (Urecholine) 3. Propantheline (Pro-Banthine) 4. Nystatin (Mycostatin)
A nurse is caring for a client who has developed irritation to his feeding tube in the past. Which of the following actions should the nurse take to prevent this from occurring?
A) Flush the tube. B) Lubricate the tube before insertion C) Use an infusion pump. D) Elevate the client's bed