A client has a nasogastric tube inserted at the time of abdominal perineal resection with permanent colostomy. This tube will most likely be removed when the client demonstrates which of the following
Absence of nausea and vomiting.
B. Absence of stomach drainage for 24 hours.
C. Passage of mucus from the rectum.
D. Passage of flatus and feces from the colostomy.
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A client is diagnosed with a herniated lumbar disk at the L-5 interspace. Which of the following symptoms would most likely be the one that first caused the client to seek health care
A. Loss of voluntary muscle control.
B. Loss of bladder control.
C. Back pain that is relieved with resting.
D. Back pain that radiates to the shoulders.
The nurse notices that the client’s pupils are fixed and dilated. What does this finding indicate
A. The client is permanently paralyzed.
B. The client is going to be blind as a result of an injury.
C. The client probably has meningitis.
D. The client has received a significant brain injury.
What activity orders would be appropriate for a client with an internal radium implant for cervical cancer
A. Out of bed as tolerated within the room.
Bed rest with bathroom privileges.
C. Bed rest in position of comfort.
D. Bed rest with the head of the bed flat.
The nurse is preparing to care for a client diagnosed with catatonic schizophreni
A. a. In anticipation of this client’s arrival, what should the nurse doA. Notify security.B. Prepare a magnesium sulfate drip.C. Place a specialty mattress overlay on the bed.D. Communicate the client’s nothing-by-mouth status to the dietary department.
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