A client has a prescription for the insertion of a nasogastric tube to low intermittent suction. When inserting the nasogastric tube, the nurse observes an immediate return of "coffee ground" drainage. Which action should the nurse implement?

Connect the nasogastric tube to high continuous suction.

Clamp the nasogastric tube and contact the healthcare provider.

Connect the nasogastric tube to suction as prescribed.

Immediately remove and then reinsert the nasogastric tube.

Answer and Explanation

The Correct Answer is B

A.   Connecting the nasogastric tube to high continuous suction without further assessment or intervention is not appropriate and could exacerbate the situation.
B.   Clamping the nasogastric tube and contacting the healthcare provider is the correct action. "Coffee ground" drainage can indicate the presence of blood in the stomach, which may require further evaluation and intervention by the healthcare provider.
C.   Connecting the nasogastric tube to suction as prescribed without addressing the presence of "coffee ground" drainage is not appropriate. It's important to assess the significance of this finding before proceeding with suctioning.
D.   Immediately removing and then reinserting the nasogastric tube may not be necessary and could increase the risk of trauma or complications. It's important to assess the situation further and involve the healthcare provider in decision-making.

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Correct Answer is ["A","B"]

Explanation

A. Comfortable waiting areas can help parents feel more at ease during their child's procedure, as proximity may provide a sense of reassurance.
B. Information on post-procedure care can empower parents to take an active role in their child's recovery, which can be comforting.
C. It is unethical and incorrect to guarantee that any medical procedure is 100% effective and safe; complications can arise, and setting realistic expectations is crucial.
D. Limiting visitation can increase anxiety as it separates parents from their child, which can be distressing for both the child and the parents.
E. Providing a general timeframe for the procedure can help manage expectations and reduce anxiety, rather than leaving the parents to worry about an indefinite wait.

A. Mild sedation. B. Somnambulism. C. A change in the sleep-wake cycle. D. Dizziness reported after the initial dose.

Correct Answer is B

Explanation

A. Mild sedation is a common side effect of ramelteon and typically does not require immediate medical attention. It may improve with continued use as the body adjusts to the medication.
B. Somnambulism (sleepwalking) is a less common but potentially serious side effect of ramelteon. It can pose safety risks to the client, and the healthcare provider should be notified promptly to assess the severity and determine if the medication needs to be adjusted or
discontinued.
C. A change in the sleep-wake cycle is a common intended effect of ramelteon as it helps regulate sleep patterns. However, if the change is extreme or disruptive, it may warrant further evaluation by the healthcare provider.
D. Dizziness reported after the initial dose is a common side effect of ramelteon and usually
diminishes with continued use. It may not require immediate medical attention unless it persists or worsens.

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A client has a prescription for the insertion of a nasogastric tube to low intermittent suction. When inserting the nasogastric tube, the nurse observes an immediate return of "coffee ground" drainage. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits What can the nurse do to help the parents to decrease their anxiety? Select all that apply.

Correct Answer is ["A","B"]

Explanation

A client who recently received a prescription for ramelteon to treat sleep deprivation reports experiencing several side effects since taking the drug. Which side effect should the nurse report to the healthcare provider?

Correct Answer is B

Explanation

Exhibits The nurse reviews the client data. What discharge education should the nurse provide? Select all that apply.

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