Physiological Adaptation = Gastrointestinal

Drill 11 #2:

The nurse is caring for a client who is receiving continuous tube feedings and medication administration through a nasogastric tube. The nurse will include which of the following in the plan of care?

• A. Verify tube placement every shift.

• B. Flush the tube with sterile saline after administering medications.

• C. Assess the skin around the patient’s nares.

• D. Discard the gastric aspirate.

Drill 12 #5:

The nurse is performing a dressing change for a client who had abdominal surgery 48 hours ago. Which of the following client findings would be a priority for the nurse to notify the surgeon?

• A. Bruising around the surgical wound that is extending to the client’s right flank

• B. Moderate amount of serosanguinous drainage in the client’s surgical drain

• C. Crusting underneath the staples and around the surgical incision

• D. Small amount of purulent drainage from the client’s surgical incision