A nurse is caring for a client who has an active upper gastrointestinal bleed. After inserting an NG tube into the client, which of the following findings should the nurse anticipate?

Frothy pink drainage

Greenish-yellow drainage

Dark amber drainage

Coffee-ground drainage

Answer and Explanation

The Correct Answer is D

A. Frothy pink drainage is more characteristic of recent or active bleeding rather than an upper gastrointestinal bleed.
B. Greenish-yellow drainage typically indicates bile or gastric secretions rather than blood.
C. Dark amber drainage might suggest older, degraded blood but is less specific to an active upper GI bleed.
D. Coffee-ground drainage is indicative of older, partially digested blood and is expected in cases of upper gastrointestinal bleeding due to the breakdown of blood in the stomach.

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Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"D"}

Explanation

The client’s elevated ammonia level (250 mcg/dL, with a normal range of 10 to 80 mcg/dL) is indicative of hepatic encephalopathy, a condition often seen in patients with cirrhosis. Elevated ammonia levels result from liver dysfunction, leading to a decreased ability to detoxify ammonia. This elevated level contributes to the client's decreased level of consciousness, slurred speech, and impaired concentration.

A. Fresh flowers and potted plants in the room B. Oral fluid intake to between meals only C. Activities that could result in bleeding D. All visitors from entering the client's room

Correct Answer is A

Explanation

A. Fresh flowers and potted plants should be avoided in the room of a client with neutropenia because they can harbor bacteria and fungi, which can increase the risk of infection.
B. Oral fluid intake should be encouraged throughout the day to maintain hydration and support overall health, rather than restricting it to between meals.
C. While activities that could result in bleeding should be managed cautiously, the primary concern for a client with neutropenia is the risk of infection, not bleeding.
D. Restricting all visitors is not necessary unless directed by specific protocols; rather, visitors should follow strict hygiene practices to prevent infection.

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A nurse is caring for a client who has an active upper gastrointestinal bleed. After inserting an NG tube into the client, which of the following findings should the nurse anticipate?

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A nurse is caring for a client who has an active upper gastrointestinal bleed. After inserting an NG tube into the client, which of the following findings should the nurse anticipate?