A client is admitted for medical management of a bowel obstruction. The drainage volume from the nasogastric tube over the last 12 hours is 300 milliliters. Which assessment finding provides the earliest indication that the client is experiencing gastrointestinal motility?

Normalized electrolytes.

Decreased nausea.

Passing of flatus.

Return of appetite.

Answer and Explanation

The Correct Answer is C

A.   Normalized electrolytes are important but do not specifically indicate gastrointestinal motility.
B.   Decreased nausea can be a sign of improvement but is less specific than passing flatus.
C.   Passing flatus indicates that there is movement of gas through the intestines, which is a direct sign of returning gastrointestinal motility.
D.   Return of appetite can occur for various reasons and is not as direct an indicator of GI motility as passing flatus.

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Correct Answer is A

Explanation

A.Beginning with less sensitive questions helps establish trust and rapport with the client, making it easier to discuss more difficult topics later. This approach can make the client feel more comfortable and less threatened, thereby improving the quality of the information gathered.

B.Sharing personal values can introduce bias and potentially influence the client's responses, making the interview less objective.

C.Starting with the most difficult questions can make the client feel anxious and defensive, reducing the likelihood of obtaining honest and thorough responses.

D.Asking vague, non-specific questions can lead to ambiguous answers and fail to provide the detailed information needed for a proper assessment.

A. Call the healthcare provider and clarify the prescription. B. Request verification of the prescription by the charge nurse. C. Tell the pharmacy to send an accurate child's dosage. D. Ask another nurse if adult dosages are ever given to children.

Correct Answer is A

Explanation

A. If the PN suspects an error in a prescription, especially regarding a child's dosage, it's imperative to communicate concerns to the healthcare provider for clarification and potential adjustment.
B. While involving another nurse might provide a second opinion, it's crucial to involve the prescriber to rectify any potential prescription errors.
C. The prescription should be confirmed with the healthcare provider before any medication is dispensed or administered.
D. While seeking information from peers is valuable, this situation calls for direct clarification from the prescriber to ensure proper dosing for the child.

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A client is admitted for medical management of a bowel obstruction. The drainage volume from the nasogastric tube over the last 12 hours is 300 milliliters. Which assessment finding provides the earliest indication that the client is experiencing gastrointestinal motility?

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