You note that A.G.'s NGT has not drained in the last 3 hours
What can you do to facilitate drainage?
• Check the connections to make certain the tube is connected to the suction source.
• Make certain the tube isn't kinked. Ensure that the suction device is working properly.
• Have A.G. change position (turn) to see whether this allows the tube to drain more freely.
• If there is a physician's order, irrigate the tube with 30 mL of normal saline, then immediately
aspirate the fluid.
• Last, if necessary, change the position of the NGT and retape. Some facilities will require another
x-ray examination to verify placement.
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A bystander was killed during a robbery 2 weeks ago. His widow, who has schizoaffective disorder, cries spontaneously when talking about his death. Select the nurse's most therapeutic response
a. "Are you hearing voices at night?" b. "I am worried about how much you are crying. Your grief over your husband's death has gone on too long.". c. "This loss is harder to accept because of your mental illness. I will refer you to a partial hospitalization program.". d. "The unexpected death of your husband must be very painful. I am glad you are able to talk to me about your feelings.".
A nurse is teaching a patient methods for getting up after a fall. The nurse instructs the patient to pull up to a sitting position on the floor, shuffle the buttocks to a nearby piece of furniture, and pull up on the knees in front of the furniture
What should the nurse instruct the patient to do next? a. Stand up. b. Place hands on the floor for leverage. c. Pivot so that the furniture is behind the body. d. Sit back down.
The nurse arrives at a patient's home for a visit and sees
one of the small children chewing several pieces of something white. The child is also drooling and crying and a container that looks like an empty pill bottle is on the floor. What should the nurse do first? A) Call 911 for emergency help B) Ask the poison control center about an antidote C) Give the child syrup of ipecac to induce vomiting D) Remove the substance from the child's mouth
Which information should the nurse include in the teaching of a client with type 1 diabetes mellitus that would like to participate in sports?
A. "Lower your dose of insulin." B. "Eat a large meal after your game." C. "Take an oral hypoglycemic agent on game days rather than insulin." D. "Eat a meal 1 hour before the game and consume a carbohydrate snack and fluids during the game."