A nurse is caring for client who just returned from the PACU with an IV fluid infusion and an NG tube in place following abdominal surgery. Which of the following data is the priority for the nurse to assess?
The coping ability of the client
The surgical dressing
The client's bowel sounds
The patency of the NG tube
The Correct Answer is D
A. Coping ability
This is important but not a priority immediately post-op.
B. Surgical dressing
Should be assessed, but airway and tube patency are more urgent.
C. Bowel sounds
Not a priority immediately post-op; expected to be decreased due to anesthesia.
D. Patency of NG tube
Ensures gastric decompression, prevents aspiration, and supports post-op recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Advocate for more transportation
Useful, but not directly tied to homes built before 1970.
B. Write grants for daycare
Not related to the health risks of old homes.
C. Partner for fresh produce
Great for nutrition but unrelated to old housing issues.
D. Teach about lead-based paint
Homes built before 1978 may contain lead-based paint-this is the most relevant action.
Correct Answer is D
Explanation
A. Slow
AFib may be slow, normal, or fast depending on rate control, so this is not always expected.
B. Not palpable
Pulses are usually present but irregular.
C. Bounding
Not typical of AFib.
D. Irregular
A hallmark feature of AFib is an irregularly irregular pulse.
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