A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer.

Which of the following actions should the nurse plan to take?

Ensure that the client has a 22-gauge IV line in place.

Provide ketorolac for abdominal pain.

Administer nitroprusside IV based on the client's weight.

Insert a large-bore nasogastric tube.

Answer and Explanation

The Correct Answer is D

The nurse should plan to insert a large-bore nasogastric tube for a client who has upper gastrointestinal bleeding due to a peptic ulcer.

This allows for gastric lavage and can help diagnose the source of bleeding.
Choice A is wrong because a 22-gauge IV line may be too small for rapid fluid resuscitation.
Choice B is wrong because ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of gastrointestinal bleeding.
Choice C is wrong because nitroprusside is a vasodilator used to treat hypertensive emergencies and is not typically used for upper gastrointestinal bleeding.

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Correct Answer is B

Explanation

A client reports having a fever, night sweats, and cough for 2 days.
These symptoms are associated with infectious diseases such as tuberculosis.
In order to prevent the spread of infection to other patients, this client would require a private room.
A client with diabetes mellitus and acute ketoacidosis does not require a private room based on their diagnosis.
C)A client with a compound fracture of the right femur does not require a private room based on their diagnosis.
D)An older adult client with aspiration pneumonia does not require a private room based on their diagnosis.

A. Administer IV fluids to the client. B. Insert a urinary catheter. C. Prepare the client for an intravenous pyelogram. D. Initiate beta-blocker therapy.

Correct Answer is A

Explanation

Administering IV fluids can help maintain blood flow to the kidneys and prevent acute kidney failure.
Choice B is incorrect because inserting a urinary catheter does not prevent acute kidney failure.
Choice C is incorrect because an intravenous pyelogram is a diagnostic test and does not prevent acute kidney failure.
Choice D is incorrect because beta-blocker therapy is not used to prevent acute kidney failure.

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A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer. Which of the following actions should the nurse plan to take?

Nursing Test Bank

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A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer.

Which of the following actions should the nurse plan to take?