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. Documenting the transfusion reaction in the medical record is essential for accurate documentation and communication among the healthcare team.
B. Administering epinephrine subcutaneously is not indicated for febrile transfusion reactions. It is instead indicated for anaphylaxis.
C. Infusing lactated Ringer's IV may be indicated for managing transfusion reactions, but the specific treatment depends on the type and severity of the reaction. It's essential to consult with the healthcare provider for appropriate interventions.
D. Placing the blood bag in a biohazard bag before discarding is a routine procedure for disposing of blood products but is not the immediate priority when managing a transfusion reaction.

A. Elevated toilet seats B. No stairs in the home C. Reclining chair with a straight back D. Large soaking tub without a shower head

Correct Answer is D

Explanation

A: Elevated toilet seats are often recommended following hip surgery to reduce strain, not increase the risk of injury.
B: No stairs in the home is generally a positive feature for a client following hip surgery, reducing fall risk.
C: A reclining chair with a straight back may provide comfortable seating without increasing the risk of injury.
D: A large soaking tub without a shower head can increase the risk of falls and injury due to difficulty getting in and out of the tub, especially for a client recovering from hip surgery.

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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

Naxlex Comprehensive Predictor Exams

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