A nurse is caring for a patient with a gastrostomy tube. The order set for the gastrostomy tube and enteral feedings can be found below. Water Flush Bolus with 200 mL of tap water four times per day Residuals If residual is < 100 mL, re-instill and continue with ordered feedingIf residual is 350 mL, discard residual, hold tube feeding, and contact provider. Tube Feeding Replete Fiber 50 mL/hour continuously
Blog
“Of all the cares or concerns of government, the direction o…
“Of all the cares or concerns of government, the direction of war most peculiarly demands those qualities which distinguish the exercise of power by a single hand.” (Federalist 85) The above quote defends which of the following roles of the president?
The Commission on Freedom of the Press said in 1947—and it’s…
The Commission on Freedom of the Press said in 1947—and it’s still true today—that media’s obligations to society include:
A diabetic client who is well controlled with insulin inject…
A diabetic client who is well controlled with insulin injections has been NPO since midnight before having a mastectomy. The nurse notes that no preoperative orders are written regarding the client’s daily insulin dose. What is the most appropriate action by the nurse?
What is a responsibility of the Federal Election Commission…
What is a responsibility of the Federal Election Commission (FEC)?
Mr. F is a 45 yom who was diagnosed with Guillain Barre’ Dis…
Mr. F is a 45 yom who was diagnosed with Guillain Barre’ Disease one month ago. He presents with generalized muscle weakness in all extremities and trunk, along with impaired balance and sensory loss which is greater in the LE’s. The PT orders are for the patient to be tested for strength in hip flexion at this time. The patient can flex his hip against gravity, but cannot take any resistance. Which of the following grades are most appropriate for this patient?
Which of the following terms relates to the ways in which jo…
Which of the following terms relates to the ways in which journalists’ and editors’ decisions about which stories to report influence which stories people think about?
You are preparing to measure a patient’s elbow extension by…
You are preparing to measure a patient’s elbow extension by first moving them passively through the available range. At the end of the range you feel a solid “thunk” as the movement abruptly comes to a halt at full extension. Which term best describes this end feel?
In the following scenario, the federal government enacts a l…
In the following scenario, the federal government enacts a law to establish a national public school system answerable to the Department of Education. Does this law violate the Constitution?
A patient has been admitted to a medical-surgical unit with…
A patient has been admitted to a medical-surgical unit with complaints of shortness of breath and a diagnosis of acute hypoxic respiratory failure secondary to pneumonia. Vital signs are below. Upon assessment, the nurse finds course crackles in all lung lobes with diminished lung sounds in the bases. Patient denies pain, but states: “I just can’t catch my breath.” HR BP RR SpO2 Temperature 94 144/85 26 90%(6 liters, nasal cannula) 37.6 degrees C Physician Orders General:Utilize an appropriate oxygen delivery device to maintain SpO2 greater than 94%Notify physician if O2 saturation < 90% or respiratory rate > 30/minIncentive spirometry every hour while awakeElevate the head of the bed 30–45 degrees Lab:Arterial Blood Gases (ABG) every 6 hours and PRN for respiratory status changesCBC with differential dailyBasic Metabolic Panel (BMP) dailySputum culture and sensitivity x 1 STATChest X-ray in 48 hours to assess for resolution or progression Medications:IV 0.9% Normal Saline at 75 mL/hrAzithromycin 500 mg IV once dailyAcetaminophen 650 mg PO every 4-6 hours PRN for fever > 38°CMorphine 2 mg IV every 2 hours PRN for severe dyspnea or pain (monitor respiratory status closely)Enoxaparin 40 mg SC daily (if no contraindications) The nurse raises the head of bed to semi-fowler’s position. What physician order should the nurse implement next?