Your patient is receiving continuous full strength tube feedings at the rate of 100 cc/hr. The aspirated residual is 260 cc. The best action to take would be to
A) hold the feeding for an hour and recheck the residual.
B) decrease the rate to 50 cc/hr.
C) change the concentration to one-half strength.
D) lower the head of the bed until the residual is less than 20 cc.
A
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The nurse is performing hand hygiene with an alcohol-based product. The nurse should rub the hands together for at least ______ seconds
Fill in the blank(s) with correct word
The diagnosis of preterm labor is confirmed by:
A. Effacement of the cervix B. Dilation of the cervix C. Sensation of contractions D. None of the above
The nurse is performing a focused interview with a client who was recently diagnosed with varicose veins. Which of the following statements by the client are associated with risk factors for varicose veins? Standard Text: Select all that apply
1. "My mother had big veins on her legs from the time I was little.". 2. "My father is of Japanese descent.". 3. "I'm a hair stylist.". 4. "I was pregnant once and have a son.". 5. "I know I weigh a lot more than I should.".
A hospitalized child has developed a methicillin-resistant Staphylococcus aureus (MRSA) infection. The nurse plans which interventions when caring for this child? Select all that apply
a. Airborne isolation b. Administration of vancomycin (Vancocin) c. Contact isolation d. Administration of mupirocin (Bactroban) ointment to the nares e. Administration of cefotaxime (Cefotetan)