The patient is receiving nasointestinal tube feedings by continuous drip from an open system. Which procedure should the nurse use when caring for this patient?
a. Administer medication with a 10 mL-syringe.
b. Change the feeding tube bag every 8 hours.
c. Add enough formula to the bag to last 24 hours.
d. Check the placement of the tube with a 60-mL syringe.
D
The nurse checks tube placement and administers medication with a 60-mL syringe. The feed-ing tube bag is changed every 24 hours to prevent bacteria buildup in the system. The maximum time that formula can hang in an open system is 8 hours. The 10-mL syringe would cause exces-sive positive pressure into the feeding tube.
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The nurse is presenting a talk on spinal cord injury for a community health fair. Which statement indicates that the attendees understand the risk factors and prevention methods associated with spinal cord injury?
A) "There isn't much I can do to prevent a head injury when another vehicle hits my car." B) "As long as my grandson wears a helmet, he will be safe on his motorcycle." C) "I'm going to spend extra time discussing this talkmy Boy Scout troop because of their higher risk for spinal cord injury." D) "Due to their high risk, I'd like you to present this talk to the Native American population."
When explaining a surgical procedure to a client, the nurse tells the client that a small amount of which drug is sometimes added to the anesthetic solution to lengthen the duration of action of the anesthetic?
1. Epinephrine (Adrenaline) 2. Midazolam (Versed) 3. Diphenhydramine (Benadryl) 4. Lidocaine (Xylocaine)
The medical nurse who works on a pulmonology unit is aware that several respiratory conditions can affect lung tissue compliance. The presence of what condition would lead to an increase in lung compliance?
A) Emphysema B) Pulmonary fibrosis C) Pleural effusion D) Acute respiratory distress syndrome (ARDS)
What major complication is associated with oral intake in the client with a decreased level of consciousness?
A) Distended abdomen B) Nausea C) Aspiration D) Pocketing of food