Nokea
An intubated patient is receiving continuous enteral feedings through a Salem sump tube at a rate of 60ml/hr. Gastric residuals have been 30-40ml when monitored Q4H. You check the gastric residual and aspirate 220ml. What is your first response to this finding?
- A. Notify the doctor immediately.
- B. Stop the feeding, and clamp the NG tube.
- C. Discard the 220ml, and clamp the NG tube.
- D. Give a prescribed GI stimulant such as metoclopramide (Reglan).
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Britney, a 20 y.o. student is admitted with acute pancreatitis. Which laboratory findings do you expect to be abnormal for this patient?
- A. Serum creatinine and BUN
- B. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST)
- C. Serum amylase and lipase
- D. Cardiac enzymes
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're discharging Nathaniel with hepatitis B. Which statement suggests understanding by the patient?
- A. Now I can never get hepatitis again.
- B. I can safely give blood after 3 months.
- C. I'll never have a problem with my liver again, even if I drink alcohol.
- D. My family knows that if I get tired and start vomiting, I may be getting sick again.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're performing an abdominal assessment on Brent who is 52 y.o. In which order do you proceed?
- A. Observation, percussion, palpation, auscultation
- B. Observation, auscultation, percussion, palpation
- C. Percussion, palpation, auscultation, observation
- D. Palpation, percussion, observation, auscultation
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Sharon has cirrhosis of the liver and develops ascites. What intervention is necessary to decrease the excessive accumulation of serous fluid in her peritoneal cavity?
- A. Restrict fluids
- B. Encourage ambulation
- C. Increase sodium in the diet
- D. Give antacids as prescribed
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Develop a teaching care plan for Angie who is about to undergo a liver biopsy. Which of the following points do you include?
- A. You'll need to lie on your stomach during the test.
- B. You'll need to lie on your right side after the test.
- C. During the biopsy you'll be asked to exhale deeply and hold it.
- D. The biopsy is performed under general anesthesia.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.