A nurse has just inserted a nasogastric (NG) tube for a client. Which of the following findings should the nurse expect to confirm correct tube placement?

Correct Answer: A

Rationale: The correct answer is A: The client reports relief of nausea. This is because when an NG tube is correctly placed in the stomach, it can help decompress the stomach and relieve nausea. Choice B is incorrect because pH less than 5 indicates gastric placement, but it does not confirm correct placement. Choice C is incorrect as bowel sounds can be present even if the tube is incorrectly placed. Choice D is incorrect because an x-ray showing the tube above the pylorus only confirms tube position, not necessarily correct placement.

Correct Answer: B

Rationale: The correct answer is B: Wipe the top of the formula can with alcohol. This is the first action the nurse should take because it ensures the cleanliness and sterility of the formula before administering it to the client through the NG tube, reducing the risk of contamination and infection. A: Making sure the enteral formula is at room temperature is important but not the first action to take. C: Rinsing the feeding bag with water between feedings is not necessary for every feeding and does not address the immediate need to ensure the cleanliness of the formula. D: Instructing the client to keep the head of the bed elevated is important for preventing aspiration but is not the first action to take in this scenario.

Correct Answer: A

Rationale: The correct answer is A because the primary goal of nursing is to provide holistic care, which includes helping patients achieve a peaceful death. This involves promoting comfort, dignity, and emotional support for patients and their families at the end of life. Choice B focuses on personal development, not the primary goal of nursing. Choice C emphasizes quality of life, which is important but not the primary goal. Choice D prioritizes cost control, which is not the central focus of nursing care. Overall, assisting patients to achieve a peaceful death reflects the essence of nursing care and the importance of compassion and support in end-of-life situations.

Correct Answer: B

Rationale: The correct answer is B: Lateral communication. In this scenario, the conflict between the staff and the occupational therapy department requires communication between individuals at the same hierarchical level. Lateral communication enables direct discussion and collaboration among peers to address issues and find solutions. A: Downward communication involves communication from higher to lower levels in the hierarchy, which would not be suitable for resolving conflicts between different departments. C: Distorted communication implies a breakdown in the communication process, leading to misunderstandings and misinterpretations, which would not be effective in addressing the conflict. D: Upward communication involves communication from lower to higher levels in the hierarchy, which may not be the most appropriate method for resolving conflicts between departments.

Correct Answer: D

Rationale: The correct answer is D: affinity map. When a problem is not easily identified, using an affinity map can help organize and visually represent different ideas or information related to the issue. This method allows for clustering similar themes or concepts, leading to a clearer understanding of the problem. A: Trial and error involves randomly trying different solutions without a systematic approach. B: The Delphi method is a structured communication technique for gathering opinions from experts, which may not directly help in identifying the problem. C: Political decision-making model focuses on power dynamics and interests, which may not be relevant for problem identification. In summary, using an affinity map promotes structured organization of information, making it the most suitable choice for identifying unclear problems.

Correct Answer: D

Rationale: The main purpose of a nursing code of ethics is to provide a framework for ethical decision-making in nursing practice. This is because ethical codes help guide nurses on moral principles and values when faced with ethical dilemmas. It is crucial for nurses to have a set of guidelines to navigate complex situations ethically. Choice A is incorrect because while protecting the rights and dignity of patients is important, it is not the main purpose of a nursing code of ethics. Choice B is incorrect because compliance with healthcare laws is separate from ethical decision-making. Choice C is incorrect as setting standards for clinical practice is a different aspect of nursing practice compared to ethical decision-making.

Correct Answer: B

Rationale: The correct answer is B: Only use approved abbreviations. Using approved abbreviations helps prevent misinterpretation and errors in documentation, ensuring legal credibility. Shortcuts in documentation (A) can lead to incomplete or inaccurate information. Subjective documentation (C) may lack objectivity and legal validity. Documenting after care is provided (D) may result in memory bias and inaccuracies. Therefore, emphasizing the use of approved abbreviations is crucial for ensuring accurate, clear, and legally credible nursing documentation.

Correct Answer: B

Rationale: The correct answer is B: Identify the project team. This is the first step in implementing a new EHR system as it involves selecting individuals with the necessary skills and expertise to oversee the project. Once the project team is in place, they can then move on to conducting a needs assessment (D) to identify requirements, developing a training program (C) based on the assessment, and finally training all staff on the new system (A) with the guidance of the project team. Identifying the project team first ensures there is leadership and direction in place to effectively carry out the implementation process.

Correct Answer: B

Rationale: The primary responsibility of a clinical nurse leader (CNL) is to coordinate patient care. This involves overseeing the care provided to patients, ensuring proper communication between healthcare team members, and promoting efficient and effective care delivery. CNLs focus on improving patient outcomes and quality of care by coordinating various aspects of patient care. Supervising nursing staff (A) is typically the responsibility of nurse managers or charge nurses. Developing nursing policies (C) is usually the role of nurse educators or nurse administrators. Implementing evidence-based practice (D) is important for all nurses but is not the primary responsibility of a CNL, whose main focus is on coordinating patient care.