A client who has undergone a fundoplication wrap for hernia repair has returned from the postanesthesia care unit with a nasogastric tube draining dark brown fluid. Which is the nurse's priority action?
a. Assess the placement of the tube.
b. Document the finding and continue to monitor.
c. Clamp the nasogastric tube for 30 minutes.
d. Irrigate the nasogastric tube with normal saline.
B
After fundoplication, drainage from the nasogastric tube is initially dark brown with old blood. This finding is expected and requires only documentation. The drainage should become yel-low-green within 8 hours after surgery.
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called A. titration. B. infusion. C. alligation. D. qsad.
A child demonstrates increasing language skills and an understanding of symbols. Creative play and the use of imagination is an important activity in the child's life
Based upon these characteristics and according to Jean Piaget's theory, what stage of cognitive development is the child demonstrating? A) Preoperational stage B) Sensorimotor stage C) Concrete operational stage D) Formal operational stage
A nurse is preparing to administer nitroglycerin (NTG) via the sublingual route. The nurse knows that nitroglycerin tablets are administered sublingually to:
a. avoid the bitter taste. b. prevent nausea and vomiting. c. absorb readily into the circulation. d. undergo first-pass metabolism.
When taking the health history of a child whose family is at the poverty level and has no insurance, you discover that the child has been seen in the emergency room of the hospital ten times in the last 6 months
During the interview, you would first try to find out from the family if: a. they use the emergency room for episodic health care or if the child has a regular health care provider b. there is a history of child or spousal abuse or incestuous relationships in the family c. the child has a chronic health problem with acute exacerbations presenting an emergency situation d. the child is hyperactive or has a history of inattention to safety and suffers accidents on a regular basis