yesterday the nurse inserted an NG tube to the low intermittent…

Question Answered step-by-step yesterday the nurse inserted an NG tube to the low intermittent… yesterday the nurse inserted an NG tube to the low intermittent wall suction into a client who has paralytic ileus. Today the client begins to vomit which action is most important for the nurse to take?А Verify nasogastric tube placementB Auscultate for presence of bowel sounds С Change the suction to constant suction D Monitor strict intake and outputA client with oral cancer is receiving radiotherapy ( RT) prior to surgery. Which intervention should the nurse teach the client to implement in managing mucositis related to RT? A Place chins down and tilts head for dyspahgia meals B Use a commercial mouth washes for xerostomia C Eat high caloric meals to prevent weight loss D. Normal saline mouth as swish and spit after meals and bedtime.A client newly diagnosed Type 2 diabetes (DM ) receives a prescription for captopril 50 mg PO BID . The client has no history of hypertension, and the baseline blood pressure (BP) IS 132/78mmHg. Which action should the nurse implement? A Withhold the medication if BP is within normal range B Assess the client for signs and symptoms of hypertension C Examine the medical history for hypertensive risk factors D Administer antihypertensive medication as prescribedA client who is human immunodeficiency virus positive (HIV + ) is receiving zidovudine during labor Which information should the nurse provide to the Client? A The medication is given for treatment of chorioamnionitis B The drug treats fungal infections associated with HIV C This treatment helps prevent transmission of the virus to the fetus D This intervention helps to prevent HIV complications in the motherA client who has a history of uncontrolled hypertension presents with dyspnea, cold moist hands, a rapid weak pulse, and jugular vein distention. The nurse initiates oxygen via face mask. Which action should the nurse implement next? A Palpate the pedal pulses B Insert an IV catheter and saline lock C Call for a portable chest x-ray D Place client in a high Fowler’s positionA client with progressive heart disease receives a prescription for furosemide which intervention should the nurse implement? A. Record usual eating patterns B Document abdominal girth C Supplement diet with a daily banana D Measure ankle circumference dailyA client admitted with sided heart failure has a heart rate of 110 beats per minute and is becoming increasingly dyspneic additional assessment finding by the nurse supports the client’s admitting diagnosis? A Peripheral edema B Jugular vein distensionC An enlarged distended abdomen D Crackles in the bases of both lungsThe nurse is teaching a client technique to prevent further episodes of chronic lower back pain which outcome statement best measures that the teaching was effective? А. The client demonstrates use of a TENS (transcutaneous electrical nerve stimulation) unit correctly B She correctly identifies the adverse effects of NSAlDs (non nonsteroidal antiinflammatory drugs ) The client exercises on a regular daily basis The client takes 1, 000 of supplemental calcium dailyWhich finding should the nurse document as a primary manifestation of osteoporosis in an older woman? A. Abnormal cardiac status in the ECG B Pain in the spine and neck C Decreased serum calcium level D Loss of height over timeA clients is receiving oprelvekin following chemotherapy The nurse reviews the client’s platelet count results which have incorrect which action should the nurse take?A Assess for signs of thrombophlebitisB Without the next dose of the medicationC Administer the next dose as scheduledD Notify the healthcare provider immediatelyThe computerized tomography (CT scan) reveals the presence a dissecting thoracic aneurysm in client who following a thoracic aneurysm repair, the nurse plans to observe for signs of hypovolemia. In assessing for signs of hypovolemia, which assessment should the nurse complete first? А Measure urine output B Auscultate breath sounds C Measure pulse and BP D Observe skin elasticityA reports the recent onset of chest pressure that occurs sporadically exertion The client also describes increased fatigue and the nurse notes that the client has mild which the client reports occurs primarily at the end of the day – electrocardiogram (ECG) finding indicates an inadequate oxygen supply to the heart muscle A ST segment depression B Pathological O waves C ST segment elevation D Prolonged QT intervals     Health Science Science Nursing NURSING AS I’M A STUD Share QuestionEmailCopy link Comments (0)