A nurse is teaching a client who is preoperative for a colectomy. The client asks the nurse why he needs a large-bore NG tube. Which of the following statements should the nurse make?

The tube is a routine standard following this type of surgery.

The tube will allow us to provide you with nutrition.

The tube can be explained to you once you are stable after surgery.

The tube will remove gas and fluid from your stomach.

Answer and Explanation

The Correct Answer is D

Choice A reason: The statement that the tube is a routine standard following this type of surgery is too vague and does not provide the client with specific information about the purpose of the NG tube. Providing clear and specific reasons for medical interventions helps improve client understanding and comfort.
Choice B reason: While NG tubes can be used for nutritional support, this is not typically their primary purpose in the immediate postoperative period for colectomy patients. The main purpose is usually decompression, not nutrition.
Choice C reason: Telling the client that the tube can be explained once they are stable after surgery does not adequately address the client's need for information before the procedure. It is essential to provide clear and accurate information beforehand to reduce anxiety and promote informed consent.
Choice D reason: This is the correct answer because it clearly explains the primary purpose of a large-bore NG tube after a colectomy, which is to remove gas and fluid from the stomach to prevent distension and complications such as nausea, vomiting, and aspiration.

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Correct Answer is A

Explanation

Choice A reason: Practicing effective hand hygiene is the most important strategy for preventing the transmission of hepatitis A. The virus is primarily spread through the fecal-oral route, often due to poor handwashing practices. Ensuring proper handwashing can significantly reduce the risk of spreading the virus to others.
Choice B reason: Avoiding serving raw foods can help prevent foodborne illnesses, but it is not specific to preventing the transmission of hepatitis A. The focus should be on hygiene practices rather than food preparation alone.
Choice C reason: Wearing barrier protection during vaginal intercourse is more relevant to preventing the transmission of sexually transmitted infections (STIs). Hepatitis A is not typically transmitted through sexual contact, making this strategy less relevant.
Choice D reason: Avoiding eating at fast food restaurants may reduce the risk of foodborne illnesses in general, but it does not specifically address the prevention of hepatitis A transmission. Hand hygiene remains the primary preventive measure.

A. Reduce the client's intake of protein. B. Administer vitamin K. C. Restrict the client's intake of fluids. D. Administer diuretics.

Correct Answer is A

Explanation

Choice A reason: Reducing the client's intake of protein can help decrease the production of ammonia, which is a byproduct of protein metabolism. High ammonia levels contribute to hepatic encephalopathy, so a lower protein diet can be beneficial.
Choice B reason: Administering vitamin K is important for managing bleeding risks associated with cirrhosis, but it does not specifically address ammonia levels.
Choice C reason: Restricting fluid intake may be necessary for managing ascites and edema in cirrhosis but does not directly impact ammonia levels.
Choice D reason: Administering diuretics is often necessary to manage fluid retention and ascites, but it does not affect ammonia production or levels in the blood.

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A nurse is teaching a client who is preoperative for a colectomy. The client asks the nurse why he needs a large-bore NG tube. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is A

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