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. Tell the UAP to take the client back to his room. - This action might not address the problem and may disrupt the ongoing activity without rectifying the situation.
B. Instruct the UAP to walk on the client's affected side. - When assisting a client with rightsided weakness, the caregiver should support the affected side, providing assistance and stability.
Instructing the UAP to walk on the client's affected side is the appropriate action.
C. Take over the ambulation and counsel the UAP later. - This might disrupt the ongoing care and might not rectify the situation immediately. Addressing it promptly is crucial.
D. Provide the client an assistive device, such as a cane or walker. - While assistive devices can be beneficial, in this scenario, the immediate concern is correcting the UAP's positioning

A. Gravida-4, Para-4. B. Gravida-4, Para-3. C. Gravida-S, Para-3. D. Gravida-5, Para-2.

Correct Answer is B

Explanation

A. Gravida (G) refers to the total number of pregnancies. This option counts all four pregnancies (twins, son, fetal loss) which is correct. Parity (P) refers to the number of pregnancies that have reached viable gestational age (20 weeks or beyond). Since the fetal loss at 24 weeks is included in the count, the parity is incorrectly stated as 4.
B. Gravida (G) counts all four pregnancies, which is accurate. Parity (P) considers only the pregnancies that reached viable gestational age. As there are two children from the twins, one child aged 4 years, and the fetal loss at 24 weeks (which is not considered as viable gestational age), the correct parity is 3.
C. Gravida (G) represented as 'S' typically indicates "stillbirths" rather than the total number of pregnancies. It does not provide an accurate representation of all pregnancies, so this is not the correct choice.
D. Gravida (G) counts five pregnancies, which doesn't accurately represent the scenario as there have been four pregnancies, not five. Parity (P) as 2 doesn't account for the twins, so it's incorrect.

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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

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Naxlex Comprehensive Predictor Exams

The practical nurses (PN) notes that an unlicensed assistive personnel (UAP) is ambulating a male client who had a stroke and has right-sided weakness. The UAP is walking on the client's left side. Which action should the PN take?

Correct Answer is B

Explanation

When assessing a client at 38-weeks gestation, the practical nurse (PN) determines that she has one set of female twins, who are now 6 years old, a son who is 4 years old, and last year she had a fetal loss at 24-weeks gestation. Which is the correct gravidity and parity for this client?

Correct Answer is B

Explanation

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