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 C
Explanation
A. Handrails in the bathroom are a safety feature designed to prevent falls, which is beneficial for clients with decreased vision and other mobility issues.
B. Using a microwave for cooking is generally safe and convenient, especially for clients with decreased vision, as it reduces the need for handling hot pots and pans.
C. Scatter rugs can be a significant safety risk as they may cause tripping hazards, particularly for individuals with vision problems who may not see them clearly.
D. Electrical cords placed along the walls are less of a risk compared to scatter rugs. While they should be properly managed to avoid tripping hazards, they do not pose as immediate a risk as scattered rugs.
Correct Answer is D
Explanation
A. Jerking movements of the extremities are not typical of chemotherapy-induced peripheral neuropathy. These movements could indicate other neurological disorders, such as tremors or dyskinesia.
B. Extremities turning blue when exposed to cold suggests a vascular issue, such as Raynaud's phenomenon, rather than neuropathy. Chemotherapy-induced peripheral neuropathy primarily affects sensation and not blood flow.
C. Spasms of the extremities are more indicative of muscle or electrolyte imbalances rather than neuropathy. Peripheral neuropathy typically causes sensory symptoms like tingling or numbness rather than muscle spasms.
D. Tingling or a burning sensation in the extremities, known as paresthesia, is a common symptom of chemotherapy-induced peripheral neuropathy. This condition affects the sensory nerves and can lead to these types of sensations.
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