A nurse is caring for a client who has breast cancer. The client has been receiving
radiation therapy for several months and now refuses to undergo
... [Show More] further treatment.
Which of the following actions should the nurse take?
Suggest the client talk with someone who has survived breast cancer
Encourage the client to not give up
Support the client's decision
Refer the client to a counselor - Support the client's decision
A nurse is preparing to perform mouth care for an unresponsive client. Which of
the following actions should the nurse plan to take?
Place the client supine
Keep both side rails up
Raise the level of the bed
Inspect the client's mouth using a finger sweep - Raise the level of the bed
A nurse is preparing to remove an NG tube for a client who had a partial
colectomy. Which of the following actions should the nurse take?
Maintain suction while removing the NG tube
Instill 100mL of air into the NG tube before removal
Pinch the NG tube while removing the tube
Instruct the client to breathe in and out during the removal of the NG tube - Pinch
the NG tube while removing the tube
(to decrease the rick of aspiration of any gastric contents)
INCORRECT:Maintain suction while removing the NG tube
(the nurse should disconnect the NG tube from the suction apparatus before
removal)
Instill 100mL of air into the NG tube before removal
(50 ml)
Instruct the client to breathe in and out during the removal of the NG tube
(hold their breathe during removal)
A nurse is preparing to insert an NG tube for a client. Which of the following
actions will help facilitate the insertion of the tube? Select all that apply
Coat the tip of the tube with a water-soluble lubricant
Ask the client to swallow water while the tube enters her throat
Place the coiled tube in ice chips prior to insertion
Tell the client to tilt her head backwards as insertion begins
Instruct the client to bear down during insertion - Coat the tip of the tube with a
water-soluble lubricant
Ask the client to swallow water while the tube enters her throat
Tell the client to tilt her head backwards as insertion begins
A nurse on an oncology unit receives report at the beginning of her shift about 4
clients who are postoperative. Which of the following clients should the nurse see
first?
A client who is 1 day postoperative following a lobectomy for small-cell
carcinoma and has a chest tube with 35 mL/hr of bright red, bloody drainage
A client who is 2 days postoperative following a colectomy due to colorectal
cancer and has an ostomy bag full of bright red, bloody drainageA client who is 2 days postoperative following the excision of an abdominal mass
and has a portable wound suction device with 20 mL/hr of serosanguinous
drainage [Show Less]