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. Encourage the client to resume normal activities after medication administration. - This action could exacerbate the injury and pain and isn't appropriate after pain medication for a fracture.
B. Implement ongoing assessments for signs of shallow or slow breathing. - Hydrocodone, an opioid, can cause respiratory depression. Regular monitoring for respiratory changes is crucial.

C. Observe the client for involuntary movements of the lips and tongue. - This might indicate adverse reactions but is not the most critical concern after administering hydrocodone/acetaminophen.
D. Assess the skin daily for areas of ecchymosis or other signs of bleeding. - While monitoring for bleeding is important, it's not the immediate concern following administration of hydrocodone/acetaminophen.

A. Include guidelines for coping in the discharge plan. B. Call dietary and ask them to send plastic utensils. C. Inform the family of the client's statement. D. Inform the healthcare provider who discharged the client.

Correct Answer is D

Explanation

A. Including guidelines for coping in the discharge plan might be important but doesn’t address the immediate concern of the client having access to a potential means of self-harm.
B. Calling dietary for plastic utensils might help remove the immediate risk of harm, but informing the healthcare provider takes priority.
C. Informing the family is essential for support but doesn’t directly address the current risk.
D. Informing the healthcare provider who discharged the client is crucial as they need to reassess the discharge plan in light of the client's current statement and remove the potential means of self-harm.

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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) is caring for a client with fractured metatarsals after slamming a hand in the car door. After administering the prescribed hydrocodone/acetaminophen for pain, which intervention should the PN include in the client's care?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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