The postoperative client has a nasogastric tube in place for 5 days. On the fifth day, the client begins to exhibit confusion and lethargy. The nurse anticipates which of the following?
1. The confusion is related to the gastric suctioning removing electrolytes from the stomach.
2. The confusion is a delayed effect from anesthesia.
3. The confusion is most likely age related.
4. The confusion is related to the gastric suctioning and has decreased the client's fluid volume.
The confusion is related to the gastric suctioning removing electrolytes from the stomach.
Rationale: Gastric suctioning via nasogastric tube may impact a client's electrolyte balance by removing electrolytes via extracted gastric fluids. Confusion can occur as a result of hyponatremia. While confusion can occur as a result of anesthesia, it usually does not take 5 days to occur. Elderly clients are more susceptible to electrolyte imbalance, but electrolyte imbalance is not exclusive to the elderly client. Decreasing the client's fluid volume is not the cause of electrolyte disturbance, but can also cause acid−base problems.
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A) Extensive burns have pathophysiological effects that supersede the integumentary system. B) Burns involving a large TBSA are often less painful than burns that are less extensive. C) Extensive burns necessitate palliative care rather than curative treatments. D) Burns that involve a large TBSA are always accompanied by sepsis.
Jenni is an 8-year-old girl with a known history of physical and sexual abuse. She has come to the pediatric clinic with her foster mother for a yearly physical
Which of the following statements would indicate that the nurse is prepared to work with the child? 1. "Hi, Jenni. I am going to be your nurse today. Please put this gown on. I will chart on this computer, and then we will start with your assessment.". 2. "Hi, Jenni. I am going to be your nurse today. Here is a gown for you to put on. I am going to step out of the room until you have it on. Please have your foster parent open the door when you are ready for me to come back in.". 3. "Hi, Jenni. Please put the gown on, and then we will take you down the hall for your lab work.". 4. "Hi, Jenni. We are going to get some tests done today to make sure you are healthy. The doctor is going to make sure there are no more marks on you today.".
Different domains that could impact culture are
What will be an ideal response?