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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Cleaning the inside of the container with a wipe is not a part of the standard procedure for collecting a midstream urine sample. The focus should be on maintaining external cleanliness to avoid contamination of the sample, rather than cleaning the container itself.
Choice B reason: Urinating a little then stopping, while part of the process, is not enough information to indicate a complete understanding of the procedure. The more critical aspect is how the client cleans and collects the sample to ensure it is not contaminated.
Choice C reason: Using the cleansing wipe from front to back is the correct procedure for collecting a midstream urine sample. This method helps prevent contamination from bacteria that could be present around the genital area, ensuring a more accurate sample for analysis.
Choice D reason: Using each cleansing wipe twice is not advised. It can lead to contamination as the same wipe might transfer bacteria instead of eliminating them. It is essential to use a new wipe for each part of the cleaning process to maintain hygiene and ensure the accuracy of the urine sample.

A. Nausea and vomiting B. Bradycardia C. Hyperactive bowel sounds D. Increased urinary output

Correct Answer is A

Explanation

Choice A reason: Nausea and vomiting are common manifestations of peritonitis, an infection of the peritoneal cavity, often a complication of peritoneal dialysis. These symptoms, along with abdominal pain and fever, indicate peritoneal irritation and inflammation.
Choice B reason: Bradycardia, or slow heart rate, is not a typical symptom of peritonitis. It is more commonly associated with other conditions such as heart-related issues or severe hypothermia.
Choice C reason: Hyperactive bowel sounds can occur with various gastrointestinal disturbances, but they are not specifically indicative of peritonitis. Peritonitis typically presents with decreased bowel sounds due to inflammation and irritation of the peritoneum.
Choice D reason: Increased urinary output is not a symptom of peritonitis. In fact, peritonitis can sometimes cause decreased urine output if the infection affects kidney function.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse instructs a female client about collecting a midstream urine sample. Which of the following client statements indicates an understanding of the procedure?

Correct Answer is C

Explanation

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

Correct Answer is A

Explanation

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