What nursing measure is most helpful for eliminating intestinal gas before inserting a rectal tube?

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Introduction to Nursing Profession Quizlet Questions

Question 1 of 5

What nursing measure is most helpful for eliminating intestinal gas before inserting a rectal tube?

Correct Answer: A

Rationale: The correct answer is A: Ambulate the client in the hall. Ambulating the client helps to stimulate peristalsis and promote the movement of gas through the intestines, making it easier to eliminate gas before inserting a rectal tube. Walking also helps in releasing trapped gas. B: Providing a carbonated beverage may actually increase gas production, making it counterproductive in this situation. C: Restricting the intake of solid food may not directly help in eliminating gas, as gas is mainly produced during digestion. D: Administering a narcotic analgesic may have a constipating effect, which can further exacerbate the issue of gas retention.

Question 2 of 5

Terlipressin was prescribed to Erlita due to bleeding esophageal varices. The nurse is preparing to administer the medication to the client. Which essential item is needed during the administration of this medication?

Correct Answer: B

Rationale: The correct answer is B: A suction setup. When administering Terlipressin for bleeding esophageal varices, the patient may experience vomiting due to the increased pressure in the portal venous system. A suction setup is essential to manage and prevent aspiration in case of vomiting. An airway (choice A) may be needed in case of airway obstruction but is not specific to Terlipressin administration. A cardiac monitor (choice C) may be used to monitor the patient's cardiac status but is not directly related to Terlipressin administration. A tracheotomy set (choice D) is unnecessary for administering Terlipressin and is used for emergency airway access, not for managing potential vomiting during medication administration.

Question 3 of 5

Chronic Obstructive Pulmonary Disease (COPD) is one of the leading causes of death worldwide and is a preventable disease. The primary cause of COPD is:

Correct Answer: D

Rationale: The correct answer is D: Cigarette smoking. Cigarette smoking is the primary cause of COPD as it leads to chronic inflammation and damage to the airways and alveoli in the lungs. This damage results in airflow limitation and breathing difficulties characteristic of COPD. High cholesterol diet (A) is not a direct cause of COPD. Bronchitis (B) is a type of COPD but not the primary cause. Asthma (C) is a separate respiratory condition with different underlying mechanisms than COPD.

Question 4 of 5

As a safety precaution in handling contaminated needles, the nurses are instructed to observe which of the following protective measures:

Correct Answer: D

Rationale: The correct answer is D: Throw the needle in a covered receptacle. This is the recommended safety measure because it ensures proper containment of the contaminated needle, reducing the risk of accidental needle sticks. Discarding the needle immediately (choice A) may lead to exposure. Covering the contaminated needle after injection (choice B) does not provide sufficient protection. Detaching the needle from the syringe and discarding it (choice C) increases the risk of needle stick injuries. Therefore, choice D is the most effective protective measure in handling contaminated needles.

Question 5 of 5

The nurse is revising a client's plan of care. During which step of the nursing process does such revision take place?

Correct Answer: D

Rationale: The correct answer is D: Evaluation. During the evaluation step of the nursing process, the nurse assesses the client's response to interventions, identifies if goals were met, and revises the care plan accordingly. This step ensures that the care provided is effective and individualized to the client's needs. A: Assessment is the step where data is collected about the client's condition, and it precedes the revision of the care plan. B: Planning involves setting goals and determining interventions, which is done before the revision of the care plan. C: Implementation is the step where the care plan is put into action, and it occurs before the evaluation and revision of the plan.

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