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 A

Explanation

A. Pain management is crucial after amputation, and the client should be informed that postoperative pain may gradually decrease, though some level of discomfort can persist.
B. A tingling sensation is not always expected, and the client should be prepared for a range of sensations postoperatively, including phantom pain.
C. Phantom pain is a real phenomenon experienced by many individuals following an amputation; it is not purely psychological.
D. Pain management strategies should be discussed, and the client should be aware that pain may not disappear immediately and may require ongoing management.

A. Suggest that the client rests before eating the meal. B. Request a dietitian consult. C. Check the client's vital signs. D. Request an order for an antiemetic.

Correct Answer is C

Explanation

A. While rest might help, it does not address the underlying issues of nausea and weakness that could be related to digoxin toxicity or another urgent condition.
B. A dietitian consult is not immediate or necessary at this moment; the priority is to assess the client's current symptoms.
C. Checking the client’s vital signs is the first action to identify if there are any abnormal findings such as bradycardia or other signs of digoxin toxicity, which could be causing the symptoms.
D. Requesting an antiemetic might be appropriate if nausea is confirmed, but the priority is to first assess the client’s vital signs to rule out serious issues.

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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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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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