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    Ati pn adult medical surgical 2023 proctored exam

    The nurse is assisting with the care of a client. Complete the following sentence by using the lists of options. The nurse is assisting with the plan of care for the client. The nurse should first plan to dropdown followed by dropdown.

    Explanation & Rationale

    • Determine if the nasogastric tube is in the correct position: The client reports nausea and the NG tube is not draining, which may indicate malposition or blockage. Verifying tube placement is the priority because improper placement can cause ineffective decompression, aspiration, or injury to the gastrointestinal tract. • Request a prescription for an antiemetic: Administering an antiemetic may mask symptoms without addressing the underlying issue of a nonfunctional NG tube. Treating nausea alone does not resolve the obstruction or improve decompression. • Increase the nasogastric tube suction: Increasing suction before confirming proper tube placement may cause injury or irritation to the gastric mucosa and does not guarantee effective drainage if the tube is malpositioned or blocked. • Repositioning the nasogastric tube: If the tube is correctly placed but not draining, repositioning can help restore patency and proper gastric decompression. This ensures relief from nausea, prevents further distention, and maintains electrolyte balance. • Placing the client in semi-Fowler's position: While semi-Fowler’s may help reduce risk of aspiration and improve comfort, it does not address the primary problem of a nonfunctional NG tube and should follow verification and repositioning. • Providing the client with mouth care: Mouth care is important for comfort and infection prevention, but it does not address the urgent problem of nausea and impaired gastric decompression.

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