Answer to Question 1
3
Rationale: NG tube feedings are beneficial but present possible complications such as diarrhea, lactose intolerance, dumping syndrome, or excess fluid volume. The most common complication is aspiration pneumonia caused by regurgitation of formula contents from the stomach into the respiratory tract. This risk can be minimized by checking the tube placement; the pH and color of aspirate and residual amount; and by keeping the head of the bed elevated to 30 degrees at all times. Problems with diarrhea may be caused by infusing a formula that is cold, contaminated, or of the wrong consistency or by infusing a formula too rapidly. Nasogastric tubes may be left in place from weeks to months, depending on the type of tube inserted. The feeding bag itself should be changed daily.
Answer to Question 2
2
Rationale: Albuterol is a bronchodilator. Side effects can include tachycardia, hypertension, chest pain, dysrhythmias, nervousness, restlessness, and headache, among others. The nurse monitors for these effects during therapy. The items in the other options are not side effects of this medication.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
A nurse adjusts the rate of a client’s IV.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
The nurse applies a pulse oximeter sensor on the client’s finger.
Administering Parenteral Subcutaneous or Intramuscular Injections
Administering an Intradermal Injection