A patient you are caring for is receiving a bolus tube feeding through a nasogastric (NG) tube. You observe the patient is comfortable and resting in the supine position. Should you take any action?
What will be an ideal response?
Patients receiving tube feeding are at high risk for aspiration, and the head of the bed should be elevated during and after the feeding. They should be in a Fowler's or semi-Fowler's position. The bed should be elevated and the nurse should be notified.
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A nurse suspects that a client receiving oral penicillin therapy is developing pseudomembranous colitis based on assessment of which of the following?
A) Bloody diarrhea B) Pruritus C) Chills D) Hives
Mary, an 85-year-old patient with cognitive impairment and gross instability, wanders conti-nuously. Lately, she has fallen twice, and the family demands that she be restrained. As the unit manager, you have initiated a least restraint practice
An appropriate action in this situation would be: a. Setting up a nursing team meeting to re-view practices. b. Calling the family to inform them of the practice. c. Initiating a multidisciplinary and family meeting to focus on Mary's needs. d. Restraining Mary to satisfy the family's wishes.
The nurse is reviewing with a group of high school students that the hypothalamus, pituitary gland and gonads all contribute to hormonal regulation of the female reproductive system
What would be the best information for the nurse to include in the education session about the main effects of the gonadotropic hormones? 1 . Stimulation of the formation of ova 2 . Stimulation of the secretion of hormones from sex organs 3 . Simulation of the development of secondary female sexual characteristics 4 . Stimulation and functions primarily during pregnancy A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
During Stage 3: NREM sleep, a person is
A) easy to wake up. B) most likely to sleepwalk. C) relaxed and drowsy. D) difficult to arouse.