The nurse has been caring for a client in ICU who is receiving enteral nutrition (EN) via continuous drip method. As per the orders, the nurse is assessing gastric residuals

The nurse is aware that the feeding should be withheld and the client tolerance reassessed if the residual measures which of the following? A) Greater than 300 mL C) Greater than 500 mL
B) Greater than 400 mL D) Greater than 600 mL


C
Feedback:
Gastric residuals should be measured every 4 to 6 hours. If the volume of gastric residual exceeds 500 mL, the feeding should be held and client tolerance reassessed.

Nursing

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The nurse prepares the family for the most common problem of the terminally ill patient caused by narcotics, which is:

a. malnutrition. b. constipation. c. fluid retention. d. dehydration.

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There is talk that the local RNs are considering to join the union. When considering the pros and cons to joining, which factors are reasons to join a union? (Select all that apply.)

A) Eliminate favoritism B) Will promote the free enterprise C) Enforce management's viewpoint D) Unions will recognize the individual contribution E) Will improve client outcomes

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The correct way to state the 24 h time 1430 is

A. two thirty. B. one thousand, four hundred thirty. C. fourteen hundred thirty hours. D. fourteen thirty.

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Following inspection of a client's internal eye structures, the nurse refers which client for further examination?

a. A client who has a slightly bulging optic disc b. A client who has a slightly orange retinal surface c. A client who has four sets of retinal blood vessels d. A client who has a red reflex when the retina is illuminated

Nursing