A nurse is assisting with the care of the client
Complete the following sentence by using the list of options.
The nurse should first plan to
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Correct answer: The nurse should first plan to determine if the nasogastric tube is in the correct position, followed by monitoring the client's electrolyte levels.
Determine if the nasogastric tube is in the correct position: It is crucial to ensure the nasogastric tube is correctly positioned to allow for proper drainage and to prevent complications such as aspiration.
Monitor the client's electrolyte levels: Given the client’s abnormal laboratory results (low sodium and potassium levels), it's important to closely monitor electrolytes to prevent further imbalances and complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}
Explanation
Open the splint: Reduces pressure and alleviates compartment syndrome.
Place the client on NPO status: Anticipated in preparation for possible surgery (e.g., fasciotomy).
Place the leg in a dependent position: Contraindicated as it can worsen swelling and increase pressure.
Obtain a urinalysis: Necessary to monitor for myoglobinuria, a potential complication of muscle damage in compartment syndrome.
Correct Answer is C
Explanation
A. "Encourage three large meals daily.": Smaller, more frequent meals are often better tolerated, especially if the client has nausea or anorexia.
B. "Season foods with spices.": Spices might irritate the gastrointestinal tract, particularly if mucosal lesions are present.
C. "Provide a high-calorie diet.": Clients with AIDS often have increased energy needs due to hypermetabolism and malnutrition; a high-calorie diet helps maintain weight and energy levels.
D. "Administer an antiemetic after each meal.": Antiemetics should be administered before meals to prevent nausea and improve food intake.
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