Chapter 66: Nursing Management: Critical Care Test Bank MULTIPLE CHOICE 1. A 68-year-old patient has been in the intensive care unit for 4 days and has a nursing diagnosis of disturbed sensory perception related to sleep deprivation. Which action should the nurse include in the plan of care? a. Administer prescribed sedatives or opioids at bedtime to promote sleep. b. Cluster nursing activities so that the patient has uninterrupted rest periods. c. Silence the alarms on the cardiac monitors to allow
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pancreatitis‚ which electrolyte disorder would be expected? a. Hypoglycemia b. Hypernatremia c. Hypocalcemia d. Hyperkalemia 7) If a gastric ulcer perforates‚ which action should be included in the management of the client? a. Removal of the nasogastric tube b. Antacid administration c. H2-receptor antagonist administration d. Fluid and electrolyte replacement 8) A client presents to the ER with abdominal pain‚ weight loss‚ steatorrhea‚ and a random glucose of 417 mg/dl. The nurse should
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for confirming the correct placement of nasogastric tube in patients in an acute care A nasogastric tube is inserted to a patient for medical administration‚ feeding and for drainage of gastric content‚ it is very commonly be used in the ward‚ especially for critically ill patients in acute care ward and the Intensive Care Unit (ICU). And according to our previous knowledge‚ we have learnt several methods to check the correct placement of the nasogastric tube inserted‚ which includes using the pH
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Chapter 41: Nursing Management: Obesity Test Bank MULTIPLE CHOICE 1. Which statement by the nurse is most likely to help a morbidly obese 22-year-old man in losing weight on a 1000-calorie diet? a. “It will be necessary to change lifestyle habits permanently to maintain weight loss.” b. “You will decrease your risk for future health problems such as diabetes by losing weight now.” c. “You are likely to notice changes in how you feel with just a few weeks of diet and exercise.” d. “Most of the weight
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and applied generously twice daily to the peristomal erythema surrounding the mucous fistula. Medications as needed include acetaminophen 37.5mg every 6 hours 1 to 3 times daily‚ and hydrocodone-acetaminophen 0.8ml every 4 hours for pain via nasogastric tube. Lanolin
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Benchmark: Evidence -Based Practice (EBP) Summary Shannon Marcus Grand Canyon University- NUR-504 Debra Finch-Instructor May 26‚ 2015 Introduction Nasogastric (NG) tube placement is a common procedure done in pediatric and neonatal patient care settings. However‚ there is little research that exists in today’s vast amount of medical information that conclusively proves the safest and most accurate way to verify placement. Although there have been several research
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This specific nurse had had 20 years experience and had reputation of cutting corners. She was administering medication to a patient via nasogastric tube and came across a medication that was extended released tablets. The nurse was behind schedule with giving medication so she documented early‚ crushed and delivered the enteric-coated pill through the nasogastric tube. Later on during the shift‚ the patient complained of gastric irritation. In this instance‚ the nurse breached beneficence‚ justice
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sounds Therapeutic Measures & Related Nursing Interventions With GI Patients Gastric Decompression Types of tubes: Saunders‚ pg. 661 Nursing interventions: Saunders‚ pg. 663 Gavage or Enteral Nutrition Provide nutritional support through a tube Short or long term In conditions that prohibit oral nourishment Types of Tubes Nasogastric - (NG) Gastrostomy – (G-tube) Jejunal – (J-tube) Percutaneous – (PEG) Total Parenteral Nutrition - TPN Nutritionally complete Used when GI system not
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Bowel injury is associated with potentially life threatening consequences if not promptly recognized and treated. Immediate intraoperative repair is recommended because diagnosis of an unrecognized bowel in postoperative period is difficult. Early imaging with computerized tomography (CT) of the abdomen and pelvis is vital‚ and immediate surgical exploration is required when a bowel injury has been identified. Bishoff et al. performed a retrospective review in 915 patients who underwent laparoscopic
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While she was in this hospital‚ a feeding tube was forcibly administered‚ “In 1986‚ Bouvia‚ then 28 years old and suffering from severe cerebral palsy‚ sought the removal of a nasogastric feeding tube inserted against her will by the medical staff of the High Desert Hospital.Contending that she had a right to refuse any and all medical treatment”(1079‚ Bouvia v. County
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