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 A
Explanation
Choice A reason: An increased prostate-specific antigen (PSA) level is primarily indicative of prostatic conditions, including prostate cancer. PSA is a protein produced by both normal and malignant cells of the prostate gland. Elevated PSA levels can be a sign of prostate cancer, benign prostatic hyperplasia (BPH), or prostatitis. It is an important marker used in the screening and monitoring of prostate cancer.
Choice B reason: Colon cancer does not typically result in elevated PSA levels. Instead, colon cancer is often associated with markers like carcinoembryonic antigen (CEA). PSA is specific to prostate tissue, and its elevation is not related to colon cancer.
Choice C reason: Liver cancer is not associated with increased PSA levels. Liver function tests, alpha-fetoprotein (AFP), and imaging studies are more relevant in the diagnosis and monitoring of liver cancer. PSA levels do not provide information about liver cancer.
Choice D reason: Breast cancer does not affect PSA levels. Breast cancer markers include CA 15-3, CA 27.29, and others specific to breast tissue. PSA is a prostate-specific marker and is not used in the context of breast cancer diagnosis or monitoring.
Correct Answer is A
Explanation
Choice A reason: A serum creatinine level of 6 mg/dL is significantly elevated and indicates impaired kidney function, which is a hallmark of acute kidney injury (AKI). Normal creatinine levels are typically around 0.6 to 1.2 mg/dL for adults, so this level suggests severe kidney impairment.
Choice B reason: A serum potassium level of 4.5 mEq/L is within the normal range (3.5-5.0 mEq/L) and does not indicate acute kidney injury. Elevated potassium can be seen in AKI but is not the most specific indicator without other abnormal values.
Choice C reason: A hemoglobin level of 16 g/dL is within the normal range for adults (approximately 13.8 to 17.2 g/dL for men and 12.1 to 15.1 g/dL for women). It does not indicate acute kidney injury.
Choice D reason: A BUN level of 15 mg/dL is within the normal range (7-20 mg/dL) and does not indicate acute kidney injury on its own. Elevated BUN in conjunction with elevated creatinine would be more indicative of AKI.
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