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 C

Explanation

A. Although auscultating breath sounds is important, it is not the immediate priority. The client’s symptoms suggest a possible allergic reaction or anaphylaxis.
B. Elevating the head of the bed is important for comfort but is not the first action in the event of a suspected allergic reaction.
C. Stopping the infusion is the first critical step to prevent further exposure to the allergen and reduce the risk of severe reactions.
D. Calling the provider is important but should occur after ensuring the immediate safety of the client by stopping the infusion.

A. Verbalizing all steps in the procedure B. Attending a class given about tracheostomy care C. Performing the procedure independently D. Asking appropriate questions about suctioning

Correct Answer is C

Explanation

A. Verbalizing steps is important for understanding but does not demonstrate the ability to perform the procedure.
B. Attending a class is beneficial for learning, but it does not confirm the partner’s practical competence.
C. Performing the procedure independently indicates that the partner can effectively manage suctioning without supervision, demonstrating readiness for discharge.
D. Asking questions is a sign of engagement but does not show practical readiness.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is caring for a client with a tracheostomy. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge?

Correct Answer is C

Explanation

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