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 C

Explanation

A saw-tooth pattern with an atrial rate of 250 to 400/min is a characteristic finding on a cardiac rhythm strip of a client who has atrial flutter.
Choice A is incorrect because progressively longer PR durations are characteristic of a Mobitz type I second-degree AV block, not atrial flutter.
Choice B is incorrect because undetectable P waves are characteristic of atrial fibrillation, not atrial flutter.
Choice D is incorrect because absent PR intervals with a ventricular rate of 40 to 60/min are characteristic of third-degree AV block, not atrial flutter.

A. Check potassium levels. B. Begin bicarbonate continuous IV infusion. C. Initiate a continuous IV insulin infusion. D. Administer 0.9% sodium chloride.

Correct Answer is D

Explanation

The correct answer isChoice D.

Choice A rationale:Checking potassium levels is important in the management of DKA, but it is not the priority intervention.The priority intervention is to restore intravascular volume with fluid resuscitation

Choice B rationale:Bicarbonate infusion is not the priority intervention in the management of DKA.It is used only in severe cases of metabolic acidosis

Choice C rationale:Initiation of a continuous IV insulin infusion is an important intervention in the management of DKA, but it is not the priority intervention.The priority intervention is to restore intravascular volume with fluid resuscitation

Choice D rationale:Administering 0.9% sodium chloride is the priority intervention in the management of DKA.It is used to restore intravascular volume and correct electrolyte imbalances

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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

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a cardiac rhythm strip of a client who has atrial flutter. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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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?