Which action is initially taken by the nurse to verify correct position of a newly placed small-bore feeding tube?
A. Placing an order for x-ray film examination to check position
B. Confirming the distal mark on the feeding tube after taping
C. Testing the pH of the gastric contents and observing the color
D. Auscultating over the gastric area as air is injected into the tube
Answer: A. Placing an order for x-ray film examination to check position
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At a point during the admission process of a young female patient, the nurse asks the patient about whether or not she performs self-breast examinations. The patient asks about the best time of the month to perform this examination
What is the best response? a. "Usually the first day of your menstrual period is best." b. "At the same time every month." c. "If you're pregnant there is no need to do it." d. "A few days after your menstrual period ends."
A home health nurse is working with a client who has chronic obstructive pulmonary disease. Which nursing diagnosis will take the highest priority for implementing client education?
A) Impaired Gas Exchange B) Ineffective Breathing Pattern C) Anxiety D) Activity Intolerance
The nurse is caring for a patient diagnosed with gallstones. The patient's medical record indicates the presence of two gallstones less than 1.5 inches. The patient is obese and has a history of insulin-dependent diabetes
The patient asks the nurse why he could not have a lithotripsy. The nurse points out that the criteria for the procedure are rigid and that he failed to meet them because: a. he has only two gallstones. b. the gallstones are all less than 1.5 inches. c. he is obese. d. he is diabetic.
Correct body alignment reduces strain on musculoskeletal structures and contributes to balance. Balance control is attained by (Select all that apply.)
a. Keeping the body's center of gravity high. b. Maintaining a wide base of support. c. Keeping the body's center of gravity low. d. Maintaining correct body posture. e. Maintaining immobility to prevent falls.