A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which order should the nurse perform the following steps? (Move the steps, placing them in the order of performance. Use all the steps.)

Pinch and withdraw the tube.

Disconnect the tube from the suction device.

Instill 50 mL of air into the tube.

Ask the client to take a deep breath.

Apply clean gloves.

Answer and Explanation

The Correct Answer is E,B,C,D,A

First, the nurse should apply clean gloves (E) to maintain sterility and safety. Next, the nurse should disconnect the tube from the suction device (B), ensuring that the device is no longer actively working on the tube.

Before removing the tube, it is important to instill air into it (C); this helps clear any residual contents and minimizes the risk of aspiration. The nurse should then ask the client to take a deep breath (D), which helps close the epiglottis to prevent aspiration during the removal of the tube. Finally, the nurse can pinch and withdraw the tube (A), completing the process in a swift, steady motion to ensure comfort and safety for the client.

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Correct Answer is A

Explanation

A) Unequal height of the shoulders - This finding is characteristic of scoliosis, as the curvature of the spine may cause one shoulder to appear higher than the other.
B) Expansion of the upper intercostal spaces - Expansion of the intercostal spaces is not a typical finding in scoliosis and may indicate other respiratory or musculoskeletal conditions.
C) Increased convex curve of the cervical spine - While scoliosis can affect the entire spine, an increased convex curve in the cervical spine is not typically associated with scoliosis.
D) Increased concave curve of the thoracic spine - While scoliosis often involves a lateral curvature of the spine, an increased concave curve of the thoracic spine alone may not be indicative of scoliosis.

A. "I'm glad to have the opportunity to choose what kind of care I receive while I still can." B. "If I want life support, I'll need to sign a separate consent form first." C. "I can't change my mind about the care I will receive once I sign my living will." D. "Once I fill out my living will, there will be a 1-month delay before it is legally binding."

Correct Answer is A

Explanation

A) "I'm glad to have the opportunity to choose what kind of care I receive while I still can." - This statement reflects an understanding of the purpose of advance directives, which is to allow individuals to express their wishes for care while they are still able to do so.
B) "If I want life support, I'll need to sign a separate consent form first." - This statement does not accurately reflect the purpose or process of advance directives.
C) "I can't change my mind about the care I will receive once I sign my living will." - Advance directives can be updated or revoked at any time as long as the individual is of sound mind and able to make decisions.

D) "Once I fill out my living will, there will be a 1-month delay before it is legally binding." - Advance directives typically become legally effective as soon as they are completed and signed, without a waiting period.

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A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which order should the nurse perform the following steps? (Move the steps, placing them in the order of performance. Use all the steps.)

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with scoliosis screenings for students at a public school. Which of the following findings should the nurse recognize as an indication of scoliosis?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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