题目内容

The nurse is caring for a client who underwent a subtotal gastrectomy 24 hours earlier. The client has a nasogastric (NG) tube. The nurse should

A. apply suction to the NG tube every hour.
B. clamp the NG tube if the client complains of nausea.
C. irrigate the NG tube gently with normal saline solution.
D. reposition the NG tube if pulled out.

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The nurse is teaching family members of a client with hepatitis A virus (HAV). Family members were exposed to the client and, therefore, should receive immunoglobulin. The nurse should tell the family members that immunoglobulin

A. prevents hepatitis infection in all people.
B. provides immunity for life.
C. must be administered within 2 weeks of exposure.
D. should be administered even if the person has anti-HAV antibodies.

The nurse is performing a painless, noninvasive procedure to measure arterial oxygen saturation (SaO2). What procedure is it

A. Incentive spirometry.
B. Arterial blood gas (ABG) measurement.
C. Peak flow measurement.
D. Pulse oximetry.

The nurse is caring for a client who is suicidal. When accompanying the client to the bathroom, the nurse should

A. give him privacy in the bathroom.
B. allow him to shave.
C. open the window and allow him to get some fresh air.
D. observe him.

While auscultating heart sounds of a client with heart failure, the nurse hears an extra heart sound immediately after the second heart sound (S2). The nurse should document this as

A. a first heart sound (S1).
B. a third heart sound (S3).
C. a fourth heart sound (S4).
D. a murmur.

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