To reduce the risk of aspiration in a patient who is receiving enteral feedings running at 70 mL/hour, the nurse should:
1. check the position of the tube every shift.
2. notify the charge nurse or physician about a residual of 15 mL.
3. elevate the head during and for 10 minutes following the feeding.
4. position the patient on the left side after the feeding.
2
A residual of over 20% of the hourly rate should be reported so that the rate can be reduced.
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A patient diagnosed with a fractured left femur complains of chest pain, shortness of breath, and a rash on the chest. What complication should the nurse suspect?
1. fat embolism syndrome 2. deep vein thrombosis 3. compartment syndrome 4. disseminated intravascular coagulation (DIC)
A nurse performs a health history and physical examination with a patient who has a right leg fracture. Which assessment would be a pertinent negative finding?
a. Patient has several bruised and swollen areas on the right leg. b. Patient states that there have been no other recent health problems. c. Patient refuses to bend the right knee because of the associated pain. d. Patient denies having pain when the area over the fracture is palpated.
The nurse discharges the client who has concerns about using oxygen in the home. Which does the nurse include in client teaching to allay client fears?
1. Store the oxygen containers horizontally. 2. Put "No Smoking" signs on oxygen tanks. 3. Transport oxygen tanks in the car's trunk. 4. Place oxygen 8 feet away from flames.
In 1996, the American Association of Colleges of Nursing (AACN) presented a position paper emphasizing the belief that the ____________________ degree should be the minimal require-ment for entry into the nursing profession
Fill in the blank(s) with correct word