1. When changing a client’s post-operative wound dressing,the nurse notes yellow purulent drainage. Which of the following should the nurse do? a. Notify the HCP. 2. The HCP prescribes enteral fe... eds of Jevity 1.2 cal at 66mL/hour over 20 hours, and free water flushes of 225 mL q 4 hours times 24 h via nasogastric tube. How many mL of total fluid will the client receive in 24 hours? 66ml/hr times 20 hours = 1320 mL 225 mL times 6 flushes =1320 Add the two = 2670 mL in 24 hours 3. The nurse prepares to admin a medication that comes in tablet form through a client’s gastrostomy tube. Which actions should the nurse implement? (Select atp.) a. Position the client in Fowlers position b. Aspirate gastric contents at the start and end of the procedure c. Mix crushed meds with tube feeding d. Pour dissolved medsinto a syringe and inject into G tube e. Flush tube with 30 cc of lukewarm water prior and after the medication administration (A, E) 4. A client prescribed oxygen via nasal cannula, continuesto remove the oxygen from the nares. What can the nurse do to ensure the client receives the prescribed oxygen? b. Access why the tubing is being removed from the nares c. Increase o2 rate d. Change nasal cannula to a mask’ 5. The nurse is concerned that a BP reading is dangerously elevated for an obese client. What should the nurse do before contacting the HCP with the reading? a. Reassess the blood pressure using a larger cuf b. Reassess the blood pressure with the clientstanding c. Reassess the bloow pressure with the client laying down d. A 6. The nurse is caring for a client who is being tested for tuberculosis. Whatshould the nurse do when entering the client’s room? a. Apply a face mask after entering the room b. Apply a respirator prior to entering the room c. Apply a gown and gloves prior d. Apply a gown, gloves, and face shield prior to entering the client’s room b. [Show More]
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