Med Surg Notes

1. The nurse checks for placement of a nasogastric tube before beginning tube feeding for a client. Which of the following results would indicate to the RN that the tube feeding can begin? The PH of the contents removed from the NG tube is 3 (stomach acid contents are acidic) 2. The nurse in an outpatient clinic teaches a client with right-sided weakness to walk down stairs using a cane. What behavior would indicate by the client that teaching was successful? The client leads with the cane, followed by her right leg and then her left leg 3. A client is admitted with IRS. The RN would anticipate that the client’s hx reflect which of the following? Pattern of alternating diarrhea and constipation. 4. The nurse is teaching nutrition classes at the community center. Which of the following foods would the nurse encourage a low-income diet to eat to satisfy essential protein needs? Legumes – cheap and rich in protein 5. The nurse teaches a health class at the local library to a group of senior citizens. Which of the following behaviors should the RN emphasize to facilitate regular bowel elimination? Eat more foods with increased bulk – whole grains, legumes, veggies, fruits, seeds, nuts, bulk promotes peristalsis Regular exercise Normal fluid intake of 1,500 cc/day Laxatives are used as last resort b/c they are habit forming 6. A mother brings her 9 month old child to the pediatrician’s office with complaints of a fever of 102.2 and frequent vomiting. The nurse would expect the following reflex to still be present? Babinski’s reflex – stroking outer sole of foot upwards causes toes to hyperextend and fan and great toe to doriflex, disappears after one year of age. 7. A client with an irregular pulse of 81 and a K level of 3.0 mEq/L has digoxin (lanoxin) ordered. Which of the following actions if taken by the RN IS BEST? Notify the physician – hypokalemia can precipitate digoxin toxicity, Doctor should be called to obtain