A nurse is collecting data from a client who has an NG tube in place for gastric decompression. Which of the following findings should the nurse report to the provider?
Greenish-yellow drainage
Report of hunger
Gastric contents are present in the air vent
Abdominal distention
The Correct Answer is C
Choice A reason: This is not the correct answer because greenish-yellow drainage is a normal color for gastric secretions and does not indicate a problem.
Choice B reason: This is not the correct answer because a report of hunger is common for a client with an NG tube and does not require intervention.
Choice C reason: This is the correct answer because gastric contents in the air vent mean that the NG tube is clogged or kinked and needs to be flushed or replaced. This is the correct answer because it indicates that the NG tube is not functioning properly and could cause aspiration or infection. The other findings are expected or normal for a client with an NG tube.
Choice D reason: This is not the correct answer because abdominal distention is a common reason for placing an NG tube and should improve with gastric decompression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is incorrect because women should continue to receive Papanicolaou tests until they are 65 years old or have had a hysterectomy.
Choice B reason: This is incorrect because perimenopause is the period of time before menopause when menstrual cycles become irregular and unpredictable.
Choice C reason: This is correct because headaches are a common symptom of perimenopause caused by hormonal fluctuations.
Choice D reason: This is incorrect because the best time to perform a breast self-examination is one week after the menstrual period, when the breasts are less tender and lumpy.
Correct Answer is A
Explanation
Choice A reason: Tightening the abdominal muscles is a good strategy to prevent back injury when lifting an object. The abdominal muscles support the spine and help maintain a neutral posture. Tightening them can reduce the stress on the back and prevent muscle strain or disc herniation.
Choice B reason: Bending at the waist is a bad strategy to prevent back injury when lifting an object. Bending at the waist can cause the spine to curve and lose its alignment. This can increase the pressure on the intervertebral discs and the spinal nerves, and lead to pain, inflammation, or nerve damage.
Choice C reason: Keeping legs straight is a bad strategy to prevent back injury when lifting an object. Keeping legs straight can limit the range of motion and the leverage of the lower body. This can force the back to do most of the work and increase the risk of injury. The nurse should bend the knees and hips and use the legs to lift the object.
Choice D reason: Holding the object away from the body is a bad strategy to prevent back injury when lifting an object. Holding the object away from the body can create a lever effect and increase the load on the back. This can cause the back muscles to overwork and fatigue, and lead to injury. The nurse should hold the object close to the body and keep it at the center of gravity.
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