A nurse is caring for a client who has an active upper gastrointestinal bleed. After inserting an NG tube into the client, which of the following findings should the nurse anticipate?
Frothy pink drainage
Greenish-yellow drainage
Dark amber drainage
Coffee-ground drainage
The Correct Answer is D
A. Frothy pink drainage is more characteristic of recent or active bleeding rather than an upper gastrointestinal bleed.
B. Greenish-yellow drainage typically indicates bile or gastric secretions rather than blood.
C. Dark amber drainage might suggest older, degraded blood but is less specific to an active upper GI bleed.
D. Coffee-ground drainage is indicative of older, partially digested blood and is expected in cases of upper gastrointestinal bleeding due to the breakdown of blood in the stomach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Assistive personnel are generally not qualified to perform the double-check process for blood transfusion as it requires specialized training and certification.
B. An oncology nurse is a qualified staff member who has the necessary training and experience to correctly verify blood labels and client ID bracelets before transfusion.
C. A phlebotomist's role primarily involves drawing blood, not verifying blood products for transfusion.
D. A senior nursing student may not have the required experience or certification to perform the double-check process for blood transfusion safely.
Correct Answer is C
Explanation
A. While pain management may be necessary, it is not the priority in the initial management of a snake bite. The focus should be on addressing the potential spread of venom.
B. Discharging the client is not appropriate as the client requires immediate medical evaluation and treatment due to the venomous snake bite.
C. Removing the elastic bandages is crucial as they can impede blood flow and potentially exacerbate the spread of venom. Elastic bandages should not be used to constrict the limb; proper medical treatment is needed.
D. Obtaining a prescription for anti-venom is important but should be done after initial assessment and treatment of the snake bite. Removing constrictive bandages is the immediate action to take to manage the bite effectively.
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