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 A

Explanation

Choice A reason: Cheddar cheese is high in fat, which can trigger pancreatitis flare-ups. People with pancreatitis are generally advised to follow a low-fat diet to avoid exacerbating their condition. Consuming high-fat foods like cheddar cheese can stimulate the pancreas to produce more digestive enzymes, leading to increased inflammation and pain.
Choice B reason: Vegetable soup, especially if it is broth-based and low in fat, is generally safe for individuals with pancreatitis. It provides essential nutrients without putting too much strain on the pancreas. However, it is essential to ensure that the soup does not contain any high-fat ingredients, such as cream or butter, which can aggravate the condition.
Choice C reason: Baked fish is typically a good choice for individuals with pancreatitis because it is low in fat and high in protein. The preparation method also matters; baking is a healthy cooking method that does not add extra fat to the dish. As long as the fish is not fried or cooked with high-fat sauces, it should be safe to consume.
Choice D reason: Noodles, particularly those made from refined flour, are generally low in fat and can be included in a pancreatitis-friendly diet. However, the overall meal should be balanced and low in fat to avoid triggering symptoms. Whole grain noodles might be a better option as they provide more fiber and nutrients.

A. Neutrophils 3,000/mm B. Lymphocytes 3,000/mm C. WBC 17,000/mm D. RBC 4.2 million/mm

Correct Answer is C

Explanation

Choice A reason: Neutrophils at 3,000/mm might indicate an infection, but for acute appendicitis, one would expect to see a significant increase in the overall white blood cell count rather than just the neutrophils.
Choice B reason: Lymphocytes at 3,000/mm do not specifically indicate acute appendicitis. Lymphocyte counts are more commonly elevated in viral infections rather than bacterial ones like appendicitis.
Choice C reason: A WBC count of 17,000/mm is indicative of an acute bacterial infection like appendicitis. The elevated WBC count shows the body’s response to the infection, making this the most accurate indicator among the options provided.
Choice D reason: RBC at 4.2 million/mm is within the normal range and does not provide specific information related to acute appendicitis. This value is unrelated to the acute inflammatory process expected in appendicitis.

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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

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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