The nurse prepares to irrigate a patient's nasogastric (NG) tube after a colon resection. Which intervention does the nurse implement to irrigate the NG tube?
a. Observe sterile technique for each irriga-tion.
b. Inject 50 mL of warm tap water into the tube.
c. Gently instill 30 mL of normal saline so-lution.
d. Watch nursing assistive personnel (NAP) irrigate the NG tube.
C
The nurse instills normal saline solution to irrigate the NG tube to maintain fluid and electrolyte balance and minimize electrolyte depletion from hypotonic fluids. The nurse uses clean technique for irrigating because the patient's surgical site is farther down the gastrointestinal tract; however, he or she uses sterile irrigating fluid for upper gastrointestinal surgery. Water is usually acceptable for NG tube irrigation and can be a better solution to remove debris from within the tube because it is hypotonic. Irrigating the NG tube is a nursing task that the nurse cannot delegate because it requires clinical judgment and critical thinking skills.
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A nurse working in the critical care unit is described as being an excellent friend and critical thinker. This would be considered an example of:
A. Virtue ethics. B. Moral ethics. C. Nursing ethics. D. Power ethics.
The client is being treated with warfarin sodium as well as a diuretic. The nurse anticipates that the interaction of the two drugs will produce a(n) _____ effect from the _____
a. increased; warfarin sodium b. decreased; warfarin sodium c. increased; diuretic d. decreased; diuretic
Environmental health comprises those aspects of human health affecting quality of life that are determined by biological, chemical, and social and psychological problems in the envi-ronment
Why is it important for nurses to understand the premises of environmental health? 1. Nurses should be able to assess, eliminate/reduce, educate, and advocate for poli-cies that support health environments. 2. Toxicologists often consult nurses about environmental pollutants. 3. Pollutants such as lead are among the top 20 reported by nurses to the Environ-mental Protection Agency. 4. Many Americans live in areas that do not meet current national ambient air quality standards.
Select the volume that will have to be added to an IV bag in order to administer a recommended dose of 2 mg/kg of a drug that is supplied as 2 gram in powder form, which will be mixed in enough water to make 100 ml of final solution (W/V). The patient weighs 220 pounds.
A. 25 ml B. 10 ml C. 50 ml D. 40 ml