A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer.
Which of the following actions should the nurse plan to take?
Ensure that the client has a 22-gauge IV line in place.
Provide ketorolac for abdominal pain.
Administer nitroprusside IV based on the client's weight.
Insert a large-bore nasogastric tube.
The Correct Answer is D
The nurse should plan to insert a large-bore nasogastric tube for a client who has upper gastrointestinal bleeding due to a peptic ulcer.
This allows for gastric lavage and can help diagnose the source of bleeding.
Choice A is wrong because a 22-gauge IV line may be too small for rapid fluid resuscitation.
Choice B is wrong because ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of gastrointestinal bleeding.
Choice C is wrong because nitroprusside is a vasodilator used to treat hypertensive emergencies and is not typically used for upper gastrointestinal bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
First-degree heart block is a type of atrioventricular (AV) block that involves the consistent prolongation of the PR interval (defined as >0.20 seconds) due to delayed conduction via the atrioventricular node.
This is seen on an ECG as a PR interval greater than 200 ms in length.
Choice B: Nondiscernible P waves are not an answer because it is not mentioned as a characteristic of first-degree heart block in my sources.
Choice C: More P waves than QRS complexes is not an answer because it is not mentioned as a characteristic of first-degree heart block in my sources.
Choice D: No correlation between P and QRS waves is not an answer because it is not mentioned as a characteristic of first-degree heart block in my sources.
Correct Answer is B
Explanation
“Monitor urinary output for retention.” Urinary retention is a common side effect of opioid use and should be monitored.
Choice A is not correct because itching can be a side effect of opioids and does not necessarily indicate an allergic reaction.
Choice C is not correct because restricting fluid intake can worsen constipation.
Choice D is not correct because antiemetics may be prescribed to manage nausea and vomiting, which are common side effects of opioids.
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