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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Obtaining a culture may be necessary if an infection is suspected, but checking the type of drainage takes priority to determine the nature of the fluid.
B. Documenting the amount of drainage is important but should be done after determining the type of drainage.
C. Notifying the provider is crucial if the drainage is abnormal, but identifying the nature of the drainage should come first.
D. Checking the drainage for glucose is critical as it may indicate cerebrospinal fluid (CSF) leakage, a serious complication that requires prompt intervention.

A. You may donate blood 6 months after completing the medication regimen. B. Rest frequently throughout the day. C. Consume a high-protein diet. D. Take acetaminophen every 4 hr, as needed, for discomfort.

Correct Answer is B

Explanation

A. Clients with hepatitis B should never donate blood, even after completing treatment, as they can remain carriers of the virus.
B. Resting frequently is essential for clients with hepatitis B as it helps the body recover and conserve energy during the healing process.
C. A high-protein diet is not recommended for hepatitis B patients; a balanced diet with adequate calories and nutrients is more appropriate to support liver health.
D. Acetaminophen is metabolized by the liver and should be used cautiously or avoided in clients with hepatitis B to prevent further liver damage.

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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?

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