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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Calling the charge nurse might be necessary, but the immediate action after a needlestick injury is to cleanse the affected area to minimize the risk of infection.
B. Observing the appearance of the injection site is important but not the first action following a needlestick injury.
C. Cleaning the finger with soap and water is the initial action to reduce the risk of infection following a needlestick injury.
D. Explaining the occurrence to the client is important but comes after taking care of the nurse's immediate health following a needlestick injury.
Correct Answer is A
Explanation
A. Grunting and sternal retractions in a newborn of a mother with poorly controlled diabetes could indicate hyperinsulinemia, where the baby is experiencing hypoglycemia due to high insulin levels passed from the mother during gestation.
B. Ventral septal defect (VSD) is a congenital heart defect that typically doesn't present with grunting and sternal retractions.
C. Hypothyroidism is unlikely to cause grunting and sternal retractions in a newborn and usually manifests differently.
D. Patent ductus arteriosus (PDA) is a heart condition in newborns that might present with other signs such as a heart murmur but is not typically associated with grunting and sternal retractions.
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