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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Related Questions
Correct Answer is A
Explanation
A. Contacting the healthcare provider to clarify the prescription is essential to ensure the correct dosage for the child. It allows for immediate resolution and prevents potential harm from an incorrect dosage.
B. Requesting verification from the charge nurse might be helpful but doesn’t address the issue of the potentially incorrect prescription dosage.
C. Instructing the pharmacy to send an accurate child's dosage is a good step after clarification but doesn't address the immediate concern of the potentially incorrect prescription.
D. Asking another nurse about the administration of adult dosages to children is relevant, but the immediate action should be clarifying the prescription directly with the healthcare provider.
Correct Answer is B
Explanation
A. Cleansing the site and covering with a sterile towel is typically done by the healthcare provider performing the procedure.
B. Gathering the procedure tray and equipment ensures everything necessary for the thoracentesis is ready.
C. Placing the client in an orthopneic position may be part of the positioning during the procedure but is not the primary preparation.
D. Keeping the client NPO and encouraging voiding might be necessary for some procedures but isn't specific to thoracentesis preparation.
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