The nurse suspects that a patient who underwent esophageal surgery has a misplaced jejunostomy feeding tube. Which action would the nurse take?
Reinsert the tube
Reposition the tube
Document the findings and administer prescribed feedings
Notify the healthcare provider immediately
The Correct Answer is D
Choice A reason: Reinserting the tube without confirming its correct placement can cause harm or lead to complications. It is not the nurse's role to reinsert the tube without proper verification.
Choice B reason: Repositioning the tube without verifying its placement could also cause harm. Ensuring correct placement should be done before any attempts to reposition the tube.
Choice C reason: Documenting the findings and administering feedings without confirming the tube's correct placement can result in serious complications, such as feeding into the wrong location.
Choice D reason: Notifying the healthcare provider immediately is the appropriate action. The provider can order verification of tube placement, such as through an X-ray, to ensure it is correctly positioned before any feedings are administered.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Testicular torsion is a condition where the spermatic cord twists, cutting off the blood supply to the testicle. It is not a common complication of prostate surgery but rather an acute, emergent condition affecting the testes.
Choice B reason: Erectile dysfunction is a potential complication of prostate surgery, particularly radical prostatectomy, due to the proximity of the nerves controlling erection. Nerve-sparing techniques are often used to minimize this risk, but some degree of dysfunction may still occur.
Choice C reason: Cystitis, an inflammation of the bladder, is not typically a direct complication of prostate surgery. While urinary issues can occur postoperatively, cystitis is more commonly associated with infections rather than surgical outcomes.
Choice D reason: Paralytic ileus, a temporary paralysis of the bowel, can occur after abdominal surgeries, including prostate surgery. However, it is not as specific to prostatectomy as erectile dysfunction.
Correct Answer is A
Explanation
Choice A reason: Practicing effective hand hygiene is the most important strategy for preventing the transmission of hepatitis A. The virus is primarily spread through the fecal-oral route, often due to poor handwashing practices. Ensuring proper handwashing can significantly reduce the risk of spreading the virus to others.
Choice B reason: Avoiding serving raw foods can help prevent foodborne illnesses, but it is not specific to preventing the transmission of hepatitis A. The focus should be on hygiene practices rather than food preparation alone.
Choice C reason: Wearing barrier protection during vaginal intercourse is more relevant to preventing the transmission of sexually transmitted infections (STIs). Hepatitis A is not typically transmitted through sexual contact, making this strategy less relevant.
Choice D reason: Avoiding eating at fast food restaurants may reduce the risk of foodborne illnesses in general, but it does not specifically address the prevention of hepatitis A transmission. Hand hygiene remains the primary preventive measure.
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