RN Concept-Based Assessment with Verified Questions and Answers Latest 2023/2024
1) A female client with a nasogastric tube attached to low suction states that she is nauseated.
The nurse assesses that there has been no drainage through the nasogastric tube in the last 2
hours. Which action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube 5 cm.
D. Administer an intravenous antiemetic as prescribed.
B. The priority is to determined if the tube is functioning correctly, which would relieve the
client's nausea. The least invasive intervention is to reposition the client (B), should be
attempted first, followed by (A & C) if these are unsuccessful then (D).
2)When assigning clients on a medical-surgical floor to a RN and a LPN, it is best for the charge
nurse to assign which client to the LPN?
A. A child with bacterial meningitis with recent seizures.
B. An older adult client with pneumonia and viral meningitis.
C. A female client in isolation wiht meningococcal meningitis.
D. A male client 1 day post-op after drainage of a brain abscess.
B. Is the most stable. A, C, D have an increased risk for elevated ICP.
Author | ProfoundTutor |
Published | 30 Jul 2024 |
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