A postoperative client with a nasogastric tube (NGT) to low-intermittent suction reports the onset of nausea. Which action should the practical nurse take first

Auscultate for bowel sounds.

Determine if the suction is working.

Administer an as needed (PRN) dose of an antiemetic.

Observe the color of the gastric drainage.

Answer and Explanation

The Correct Answer is B

A.   Auscultating for bowel sounds might be important, but checking the NGT suction status is a priority when a client with an NGT reports nausea to ensure proper functioning and appropriate suction level.

B.   Ensuring the NGT suction is working properly addresses the immediate concern of potential gastric accumulation contributing to nausea.
C.   Administering an antiemetic might provide relief, but assessing the NGT function takes priority to address the cause.
D.   Observing the color of gastric drainage is essential but comes after verifying the NGT suction functioning in the context of the reported nausea.

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Correct Answer is B

Explanation

A. Missing pulse. - This term implies the complete absence of a pulse, which might not be the case here; the pulse is present but disappears with light pressure.
B. Thready pulse volume. - A thready pulse refers to a weak pulse that is easily obliterated with light pressure. This accurately describes the finding observed by the PN.
C. Light pressure applied to pulse. - This description simply explains the technique used to assess the pulse and does not adequately capture the quality of the pulse.
D. Pulse skips beats. - This term refers to an irregularity in the pulse rhythm, not to the disappearance with light pressure.

A. Assess her feelings about therapeutic abortions in the event the infant has been affected. B. Identify current sexual partners so that they can be evaluated and treated for genital herpes if necessary. C. Instruct her to avoid sexual intercourse while active, visible lesions are present. D. Determine if the client has taken acyclovir for this outbreak of genital herpes.

Correct Answer is C

Explanation

A. Assess her feelings about therapeutic abortions in the event the infant has been affected. - While important to consider potential outcomes, immediate care involves preventing transmission and managing the current outbreak.
B. Identify current sexual partners so that they can be evaluated and treated for genital herpes if necessary. - Contact tracing is important but not the highest priority in managing the current outbreak.
C. Instruct her to avoid sexual intercourse while active, visible lesions are present. - This is crucial to prevent transmission of the herpes virus to the sexual partner and to reduce the risk of complications for the pregnancy.
D. Determine if the client has taken acyclovir for this outbreak of genital herpes. - While important for understanding the treatment history, instructing the client on preventive measures has a higher priority.

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A postoperative client with a nasogastric tube (NGT) to low-intermittent suction reports the onset of nausea. Which action should the practical nurse take first

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears when light pressure is applied. How should the PN document this finding?

Correct Answer is B

Explanation

During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?

Correct Answer is C

Explanation

During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?

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