A nurse is following a physician's order to irrigate the NG tube of a patient. Which of the following is a recommended guideline in this procedure?
A) Assist patient to 30- to 45-degree position, unless this is contraindicated.
B) Draw up 60 mL of saline solution (or amount indicated in the order or policy) into syringe.
C) If Salem sump or double-lumen tube is used, make sure that syringe tip is placed in the blue air vent.
D) If unable to irrigate the tube, reposition patient and attempt irrigation again; inject 20 to 30 mL of air and aspirate again.
A
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A patient presents at the free clinic with a black, wart-like lesion on his face, stating, "I've done some research, and I'm pretty sure I have malignant melanoma."
Subsequent diagnostic testing results in a diagnosis of seborrheic keratosis. The nurse should recognize what significance of this diagnosis? A) The patient requires no treatment unless he finds the lesion to be cosmetically unacceptable. B) The patient's lesion will be closely observed for 6 months before a plan of treatment is chosen. C) The patient has one of the few dermatologic malignancies that respond to chemotherapy. D) The patient will likely require wide excision.
In which of the following situations is it protocol for the nurse to take a patient's vital signs? Select all that apply
A) upon admitting a patient to a hospital B) at a healthcare screening C) when medications are given for a cardiac arrhythmia D) following a diagnostic procedure E) prior to an invasive procedure F) when daily medications are dispensed
A client comes to the clinic with a chief complaint of feeling "dirty inside" and asks the nurse how colonics would work to improve the client's overall well-being. What should the nurse respond to this client?
1. "Colonics is a dangerous and not useful technique that no one should try." 2. "There is much controversy about colonics. What do you know about it?" 3. "This is a good way to get rid of toxins in your system." 4. "You'd better ask your doctor about this."
Which disorder is characterized by damage to the mucosa of the duodenum and jejunum and impaired secretion of secretin, cholecystokinin, and pancreatic enzymes?
a. Wilson disease b. Cystic fibrosis c. Gluten-sensitive enteropathy d. Galactosemia