A client with cancer undergoes a total gastrectomy. Several hours after surgery, the nurse notes that the client's nasogastric (NG) tube has stopped draining. How should the nurse respond
A. Notify the physician.
B. Reposition the NG tube.
C. Irrigate the NG tube.
D. Increase the suction level.
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The nurse notices that a client with obsessive-compulsive disorder washes his hands for long periods each day. How should the nurse respond to this compulsive behavior
A. By designating times during which the client can focus on the behavior.
By urging the client to reduce the frequency of the behavior as rapidly as possible.
C. By calling attention to or attempting to prevent the behavior.
D. By discouraging the client from verbalizing anxieties.
When teaching the parents of a toddler with a congenital heart defect, the nurse should explain all medical treatments and should emphasize which instruction about their child
A. Reduce the caloric intake to decrease cardiac demand.
B. Relax discipline and limit setting to prevent crying.
C. Avoid contact with small children to reduce overstimulation.
D. Try to maintain the usual lifestyle to promote normal development.
A child is to receive intrathecal methotrexate (Folex) for treatment of meningeal leukemia. For which reason would intrathecal administration be selected
A. The child has very poor veins and is unable to receive drugs IV.
B. This drug would be destroyed by gastric acid and so it can't be given by mouth.
C. This drug is poorly transported across the blood-brain barrier, so it's administered intrathecally.
D. Because the drug is rapidly absorbed if given IM, adverse effects may appear more quickly.
During a parenting group meeting, a mother reveals that she has observed her 6-year-old son playing with his penis during his bath. She asks the nurse how she should respond to the situation. What would be the nurse's most appropriate response
A. "Avoid characterizing it as bad because that's normal at his age. "
B. "If he does it often, you might consider disciplining him. "
C. "Ignore it and hope that he outgrows it. "
D. "Supervise his baths and encourage him to stop doing it. "
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