Answer to Question 1
B
B. To promote comfort for the terminally ill client specific to nausea and vomiting, the nurse should administer antiemetics, provide oral care at least every 2 to 4 hours, offer clear liquid diet and ice chips, avoid liquids that increase stomach acidity such as coffee, milk, and citrus acid juices, and offer high-protein foods in smaller portions and of a bland nature.
A. Oral care should be provided every 2 to 4 hours.
C. Increasing the fluid intake may help prevent constipation.
D. A low-residue diet may help prevent diarrhea.
Answer to Question 2
A
A. If resistance is met, try to rotate the tube and see if it advances. If still resistant, withdraw tube, allow client to rest, relubricate tube, and insert into other naris.
B. Advance tube 2.5 to 5 cm (1 to 2 inches) with each swallow of water. If client is not allowed fluids, instruct to dry swallow or suck air through straw. Advance tube with each swallow.
C. Initially instruct client to extend neck back against pillow; insert tube slowly through naris with curved end pointing downward.
D. Verify tube placement: Check agency policy for preferred methods for checking tube placement.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
A physician is performing a colonoscopy on a client and viewing the internal structures of the colon
Possible Causes of Abnormal Specific Gravity
Testing the client’s ability to feel vibrations, the knee
Positioning of client
Nursing Care Plan Process: Client with High Blood Lipid Levels