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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Epigastric-area pain that intensifies when lying down is more commonly associated with conditions like gastroesophageal reflux disease (GERD) or pancreatitis, rather than cholecystitis.
Choice B reason: Right upper-quadrant pain radiating to the shoulder and scapula is a classic symptom of cholecystitis. This pain is due to inflammation of the gallbladder, often aggravated by fatty meals, and may radiate to the back and shoulder.
Choice C reason: Right lower-quadrant pain with rebound tenderness is typically associated with appendicitis rather than cholecystitis. Cholecystitis primarily affects the right upper quadrant.
Choice D reason: Left-flank pain with intermittent exacerbations is not characteristic of cholecystitis. It might indicate conditions related to the left kidney or other left-sided abdominal issues.
Correct Answer is A
Explanation
Choice A reason: Refrigerating the urine during the collection period helps preserve the integrity of the sample by preventing bacterial growth and chemical changes, ensuring accurate test results.
Choice B reason: Discarding the client's last void at the end of the collection period is incorrect; instead, the first void at the beginning of the period should be discarded to start the collection with an empty bladder.
Choice C reason: Saving the first void at the start of the collection period is not standard practice. The first void should be discarded, and then the collection starts with the next void.
Choice D reason: Including toilet paper with the collected urine can contaminate the sample and is not an appropriate action.
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