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 A
Explanation
Choice A reason: This is the correct answer because it reflects acceptance of the limb loss and a positive coping strategy. This statement shows that the client is willing to take responsibility for the care of the residual limb and is ready to learn new skills. The other statements indicate denial, anger, or depression, which are normal stages of grief, but not acceptance.
Choice B reason: This is not the correct answer because it reflects denial of the limb loss and a reluctance to face the reality of the situation.
Choice C reason: This is not the correct answer because it reflects depression and a sense of helplessness and dependency.
Choice D reason: This is not the correct answer because it reflects anger and a difficulty in adjusting to the limb loss.
Correct Answer is B
Explanation
Choice A reason: Isopropyl alcohol is not a good solution to use for disinfecting the room of a client who has a Clostridium difficile infection. Isopropyl alcohol is effective against some bacteria, viruses, and fungi, but not against Clostridium difficile spores. These spores are resistant to alcohol and can survive on surfaces for a long time.
Choice B reason: Chlorine bleach is a good solution to use for disinfecting the room of a client who has a Clostridium difficile infection. Chlorine bleach is effective against a wide range of microorganisms, including Clostridium difficile spores. It can kill the spores and prevent their spread. The nurse should use a diluted bleach solution (1:10) and follow the manufacturer's instructions for contact time and safety precautions.
Choice C reason: Chlorhexidine is not a good solution to use for disinfecting the room of a client who has a Clostridium difficile infection. Chlorhexidine is an antiseptic that is used for skin cleansing and wound care. It is not effective against Clostridium difficile spores and can promote their growth.
Choice D reason: Triclosan is not a good solution to use for disinfecting the room of a client who has a Clostridium difficile infection. Triclosan is an antibacterial agent that is used in some soaps, toothpastes, and cosmetics. It is not effective against Clostridium difficile spores and can contribute to antibiotic resistance.
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