A nurse is caring for a client with a new diagnosis of acute kidney injury. The client states, "This is going to mess my life up." Which of the following is the best response by the nurse to assist the client to begin to understand the impact of this disease?
"You have just been diagnosed so it really won't impact your life too much right away."
"With all the treatments they have for this disease, you will be okay."
"The only concern related to the disease that clients have are financial concerns."
"Clients with this disease typically have concerns with finances, treatment, and adjusting to a new normal.
The Correct Answer is D
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
Correct Actions:
B. Test the pH of gastric aspirate.
Explanation: Testing the pH of gastric aspirate helps confirm that the NG tube is correctly positioned in the stomach. A pH of 4 or less generally indicates gastric placement. This step is crucial to avoid complications like aspiration and ensure proper feeding.
E. Check the tube's placement and patency.
Explanation: Ensuring that the tube is correctly positioned and patent (not blocked) is essential before administering feedings. This involves aspirating some of the gastric contents to confirm placement and flushing the tube with water to verify it is clear and functioning properly.
Incorrect Actions:
A. Discard residual gastric contents.
Explanation: While it is important to measure gastric residuals to assess the stomach's ability to handle the feeding, residuals are not discarded. Instead, they are measured and then returned to the stomach unless otherwise specified by the healthcare provider.
C. Auscultate sounds.
Explanation: Auscultation of bowel sounds is not typically required immediately before administering enteral feedings. However, assessing bowel sounds periodically can be part of overall monitoring to ensure proper gastrointestinal function.
D. Warm the formula to body temperature.
Explanation: Enteral feeding formulas are generally administered at room temperature, although some facilities may have specific protocols for warming. Most guidelines do not require warming formula to body temperature.
Correct Answer is D
No explanation
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