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.
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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Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"}}
Explanation
A. Since the sputum culture is positive for M. tuberculosis, contact precautions are necessary to prevent the spread of the infection to others. These precautions include wearing gloves and a gown when in contact with the client or their environment.
B. Ethambutol is one of the first-line medications used in the treatment of tuberculosis (TB). It works by inhibiting the growth of TB bacteria, thereby helping to eliminate the infection.
C. A monthly TB skin test is not a standard part of treatment for a patient with active TB and is therefore contraindicated.
D. Isoniazid is another first-line medication used in the treatment of TB. It works by killing the TB bacteria and is often used in combination with other medications to treat active TB infection.
E. Since the sputum culture is positive for M. tuberculosis, airborne precautions are necessary to prevent the transmission of TB via airborne droplets. These precautions include wearing an N95 respirator mask and placing the client in a negative-pressure isolation room.
F. Pyrazinamide is part of the standard multidrug regimen used to treat TB. It works by killing the TB bacteria in different stages of their life cycle, helping to eradicate the infection more effectively.
G. Rifampin is another essential medication used in the treatment of TB. It works by inhibiting the synthesis of bacterial RNA, thereby killing the TB bacteria. Rifampin is usually given in combination with other TB medications to prevent drug resistance.
Correct Answer is D
Explanation
A. Primary glaucoma is not typically considered a contraindication to kidney donation.
B. Amputation, unless associated with significant underlying medical conditions, is not necessarily a contraindication to kidney donation.
C. Osteoarthritis, a degenerative joint disease, is unlikely to be a contraindication to kidney donation unless it significantly affects the donor's overall health.
D. Hypertension is a significant risk factor for kidney disease and can increase the risk of complications for both the donor and the recipient. It is typically considered a contraindication to kidney donation.
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