The nursing care plan in client with nasogastric tube after episode of GI bleeding includes monitoring hemoglobin and hematocrit laboratory values, measuring the client's girth and/or assessing for distention, and checking vital signs and orthostatic blood pressure every 4 hours and PRN, the correct options are (b), (d) and (e).
Monitoring hemoglobin and hematocrit laboratory values is an important nursing intervention for a client with GI bleeding as it helps assess for ongoing blood loss and anemia. A decrease in these values may indicate continued bleeding, and prompt intervention can be initiated in a nasogastric tube. Measuring the client's girth and/or assessing for distention, is important in evaluating the effectiveness of the NG tube in removing gastric contents and assessing for complications such as bowel obstruction or ileus. Checking vital signs and orthostatic blood pressure every 4 hours and PRN is necessary to monitor for any changes in the client's condition and evaluate the effectiveness of interventions such as fluid resuscitation. It also helps identify potential complications such as hypotension or orthostatic hypotension.
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The complete question is:
The nurse is caring for a client with a nasogastric (ng) tube after an episode of gi bleeding. which interventions are included in the nursing care plan?
a. monitor and record intake and output every 8 hours.
b. monitor hemoglobin and hematocrit laboratory values.
c. ensure that suction is set on high continuous for Levin tubes.
d. measure the client's girth and/or assess for distention.
e. check vital signs and orthostatic blood pressure every 4 hours and PRN.
The countercurrent mechanism functions primarily in the
A. canal corpuscle.
B. proximal convoluted tubule.
C. distal convoluted tubule.
D. nephron loop of Henle.
The countercurrent mechanism functions primarily in the nephron loop of Henle. The loop of Henle is a section of the nephron in the kidney that is responsible for water reabsorption and the concentration of urine.
So, the correct answer is D.
The countercurrent mechanism is the exchange of substances in opposite directions across a barrier such as a membrane or a capillary network by two fluids flowing parallel to each other. In other words, this mechanism requires two fluids to move in opposite directions, with a membrane that allows the flow of specific materials between them.
Countercurrent multiplication is a physiological mechanism in which fluid flows in opposite directions through adjacent segments of the nephron loop, resulting in the concentration of salts in the interstitial fluid of the renal medulla. This mechanism helps to generate and maintain the gradient of salt concentration in the medulla, which is essential for urine concentration. So, the countercurrent mechanism functions primarily in the nephron loop of Henle.
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a client is receiving a parenteral nutrition admixture that contains carbohydrates, electrolytes, vitamins, trace minerals, and sterile water and is now scheduled to receive an intravenous fat emulsion (intralipid). what is the best action by the nurse?
The best action by the nurse would be to hang the intralipid separately or after stopping the other solution.
Intravenous fat emulsion is used to supplement nutrition and provides the body with calories and fatty acids. Lipids or fats are the primary nutrient in intravenous fat emulsions. It is used as an adjunct therapy to parenteral nutrition or as a source of calories for hospitalized patients who are unable to eat food. Intralipid is a brand name of intravenous fat emulsion.
Therefore, the best action by the nurse for the patient who is now scheduled to receive an intravenous fat emulsion (intralipid) would be to hang the intralipid separately or after stopping the other solution.
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