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chanceh91 chanceh91
wrote...
Posts: 554
Rep: 2 0
6 years ago
A client is prescribed to receive a nasogastric (NG) tube feeding. The nurse realizes that:
 
  1. placement does not need to be checked before the feeding.
  2. an NG tube is for long-term uses.
  3. the head of the bed must be 30 degrees or greater.
  4. feeding the client is not a reason for an NG tube.

Question 2

A client is prescribed a Leukotriene modifier as part of asthma treatment. The nurse should instruct the client that this medication:
 
  1. relaxes bronchospasm.
  2. increases mucociliary clearance.
  3. reduces inflammation.
  4. inhibits the allergic process.

Question 3

The nurse, planning care for a client diagnosed with severe facial trauma, realizes that which of the following will not be used when caring for this client?
 
  1. Blood pressure cuff
  2. Nasogastric tube
  3. Indwelling urinary catheter
  4. Doppler

Question 4

A client, receiving a dose of penicillin for an infection, begins to complain of difficulty breathing and has a respiratory rate of 38. This client is experiencing what type of reaction?
 
  1. Type 1
  2. Type 2
  3. Type 3
  4. Type 4

Question 5

When instructing a client on the three steps of a proctosigmoidoscopy, which of the following would not be included?
 
  1. Placement of a nasogastric (NG) tube for gastric deflation
  2. Digital examination to dilate the anal sphincters to detect obstruction
  3. Sigmoidoscope to examine the distal sigmoid colon and rectum
  4. Proctoscope to examine the lower rectum and anal canal

Question 6

A client begins to sneeze and have an increase in nasal secretions. The nurse realizes that the antibody that attaches to mast cells and plays a critical role in the allergic process is:
 
  1. IgA.
  2. IgD.
  3. IgE.
  4. IgG.
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Replies
wrote...
6 years ago
The answer to question 1  3
The head of the client's bed must be at least 30 degrees to decrease the risk of aspiration during feeding. Placement must be checked prior to feeding, and NG tubes are not for long-term use.

The answer to question 2  4
Leukotriene modifiers inhibit the allergic process. Beta-adrenergic agonists relax bronchospasm. System bronchodilators increase mucociliary clearance. Corticosteroids reduce inflammation.

The answer to question 3  2
NG tube placement is contraindicated in facial trauma. Blood pressure cuffs are used for most, if not all, clients. An indwelling urinary catheter and Doppler may or may not need to be used when caring for this client.

The answer to question 4  1
An anaphylactic reaction is a type 1 reaction. Type 2 reactions are cytotoxic and are seen with blood transfusions. Type 3 reactions are immune related and are associated with rheumatoid arthritis or systemic lupus erythematosus. Type 4 reactions are seen with transplant rejections.

The answer to question 5  1
This is a diagnostic test that takes three steps: first, a digital examination; second, a sigmoidoscope; and third, a proctoscope. An NG tube is not needed for this examination.

The answer to question 6  3
IgE antibody attaches to a mast cell that subsequently releases histamine. This reaction produces allergic symptoms exhibited by clients. IgA protects against infections of the mucous membranes. IgD is found on the surface of B cells. IgG is the main immunoglobulin that is produced in response to an infection.
chanceh91 Author
wrote...
6 years ago
Were some really tough homework problems!
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