A nurse is teaching a client who is preoperative for a colectomy. The client asks the nurse why he needs a large-bore NG tube. Which of the following statements should the nurse make?
The tube is a routine standard following this type of surgery.
The tube will allow us to provide you with nutrition.
The tube can be explained to you once you are stable after surgery.
The tube will remove gas and fluid from your stomach.
The Correct Answer is D
Choice A reason: The statement that the tube is a routine standard following this type of surgery is too vague and does not provide the client with specific information about the purpose of the NG tube. Providing clear and specific reasons for medical interventions helps improve client understanding and comfort.
Choice B reason: While NG tubes can be used for nutritional support, this is not typically their primary purpose in the immediate postoperative period for colectomy patients. The main purpose is usually decompression, not nutrition.
Choice C reason: Telling the client that the tube can be explained once they are stable after surgery does not adequately address the client's need for information before the procedure. It is essential to provide clear and accurate information beforehand to reduce anxiety and promote informed consent.
Choice D reason: This is the correct answer because it clearly explains the primary purpose of a large-bore NG tube after a colectomy, which is to remove gas and fluid from the stomach to prevent distension and complications such as nausea, vomiting, and aspiration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Hypercalcemia is not a typical electrolyte imbalance seen in prerenal acute kidney injury (AKI). Instead, the focus should be on electrolytes more directly related to kidney function.
Choice B reason: Hypernatremia, or high sodium levels, can occur but is not as typical or expected as other imbalances in prerenal AKI.
Choice C reason: Hypophosphatemia, or low phosphate levels, is not a typical finding in prerenal AKI. Phosphate levels are more likely to be affected by other conditions.
Choice D reason: Hyperkalemia, or elevated potassium levels, is a common and significant electrolyte imbalance seen in prerenal AKI. The kidneys' reduced ability to excrete potassium leads to its accumulation in the blood, which can cause serious complications such as cardiac arrhythmias.
Correct Answer is A
Explanation
Choice A reason: A purplish-colored stoma indicates compromised blood flow, which is a medical emergency that requires immediate attention to prevent tissue necrosis.
Choice B reason: A rosebud-like stoma orifice is a normal appearance for a healthy stoma and does not need to be reported.
Choice C reason: Some oozing of red drainage from a new stoma can be expected postoperatively and is generally not alarming unless it is excessive or persistent.
Choice D reason: A shiny, moist stoma indicates a healthy stoma and is expected; no need to report this finding.
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