A nurse is preparing to remove an NG tube from a client. Which of the following actions should the nurse take first?

Verify the provider’s prescription to discontinue the tube.

Disconnect the tube from the wall suction.

Perform hand hygiene.

Provide mouth care to the client.

Answer and Explanation

The Correct Answer is A

Choice A reason:

The first step in removing an NG tube is to verify the provider’s prescription to discontinue the tube. This ensures that the removal is authorized and appropriate for the client’s current condition.

Choice B reason:

Disconnecting the tube from the wall suction is an important step, but it should be done after verifying the provider’s prescription. This step prevents any suction-related complications during the removal process.

Choice C reason:

Performing hand hygiene is crucial to prevent infection, but it is not the first step. Hand hygiene should be performed after verifying the provider’s prescription and before touching the client or any equipment.

Choice D reason:

Providing mouth care to the client is important for comfort and hygiene, but it is not the first step in the process of removing an NG tube. This can be done after the tube has been safely removed.

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Correct Answer is ["2"]

Explanation

Step 1: Determine the dosage required. Required dosage = 150 mg

Step 2: Determine the dosage available per tablet. Available dosage per tablet = 75 mg

Step 3: Calculate the number of tablets needed. Number of tablets needed = Required dosage ÷ Available dosage per tablet Number of tablets needed = 150 mg ÷ 75 mg

Step 4: Perform the division. 150 ÷ 75 = 2

The nurse should administer 2 tablets per dose.

A. Supported Sims B. Semi-Fowler’s C. Dorsal recumbent D. Prone

Correct Answer is B

Explanation

Choice A reason:

Supported Sims: The Supported Sims position involves lying on one side with the lower arm behind the back and the upper thigh flexed. This position is not typically recommended for postoperative cholecystectomy patients as it does not provide optimal support for breathing and comfort.

Choice B reason:

Semi-Fowler’s: The Semi-Fowler’s position, where the head of the bed is elevated to about 30-45 degrees, is ideal for postoperative cholecystectomy patients. This position helps facilitate breathing, reduces the risk of aspiration, and promotes comfort by reducing tension on the abdominal muscles.

Choice C reason:

Dorsal recumbent: The Dorsal recumbent position involves lying flat on the back with knees bent and feet flat on the bed. While this position can be used for certain procedures, it is not the most comfortable or beneficial for postoperative cholecystectomy patients as it can increase abdominal pressure and discomfort.

Choice D reason:

Prone: The Prone position, where the patient lies flat on their stomach, is not suitable for postoperative cholecystectomy patients. This position can cause discomfort and does not support optimal breathing or reduce abdominal tension.

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A nurse is preparing to remove an NG tube from a client. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer amitriptyline 150 mg PO at bedtime. The amount available is amitriptyline 75 mg tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is caring for a client who has just returned from the PACU after a traditional cholecystectomy. In which of the following positions should the nurse place the client?

Correct Answer is B

Explanation

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