A nurse is caring for a client who has an NG tube with intermittent suction. Which of the following actions should the nurse take?

Flush the tube with 0.9% sodium chloride.

Replace the NG tube every 24 hr.

Position the client supine in bed.

Increase the suction pressure as tolerated.

Answer and Explanation

The Correct Answer is A

A.   Flushing the NG tube with 0.9% sodium chloride helps maintain patency and prevents obstruction. It is a standard practice to flush NG tubes before and after administering medications or feedings.
B.   NG tubes are not routinely replaced every 24 hours unless there is a specific clinical indication to do so.
C.   The position of the client depends on the clinical situation, but supine position alone does not address NG tube care.
D.   Suction pressure should be set according to the physician's orders and the patient's tolerance, but it should not be increased arbitrarily without clinical indication.

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Correct Answer is A

Explanation

A: Warm showers can help relieve stiffness and pain associated with osteoarthritis by improving circulation and relaxing muscles.
B: Placing a large pillow under the knees can actually exacerbate joint stiffness and pain in osteoarthritis by forcing the knee into a bent position.

C: There is no specific recommendation to limit dietary phosphorus for osteoarthritis pain management.
D: Placing an ice pack directly on the skin can cause frostbite and damage to the skin; it should be wrapped in a cloth first.

A. Ensuring that a client who is homeless receives preventive medical care B. Being honest with the parents of a child about the need to report suspected abuse C. Accepting the decision of an older adult client to live alone in her home D. Keeping a promise to visit with a client who is housebound after the delivery of care

Correct Answer is A

Explanation

A. Distributive justice involves the fair allocation of resources and benefits to all members of society. By ensuring that a homeless client receives preventive medical care, the nurse is promoting fairness and equity in healthcare access.
B. Honesty with the parents about reporting suspected abuse is related to ethical principles such as veracity and autonomy, not distributive justice.

C. This choice involves respect for autonomy rather than distributive justice.

D. This choice relates to the ethical principle of fidelity, ensuring that promises made to clients are upheld, rather than distributive justice.

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A nurse is caring for a client who has an NG tube with intermittent suction. Which of the following actions should the nurse take?

Nursing Test Bank

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