CCRN Nursing Exam Prep - Adult Critical Care

Category - Adult Critical Care Registered Nurse Test Prep

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The nurse has just inserted a Nasogastric tube on a patient who is experiencing a severe gastrointestinal bleed and has been continuously vomiting for 24 hours. She has Hemoglobin of 6.4. What nursing intervention would be most likely to prevent aspiration?

Continue with intravenous fluids.
Monitor the electrolyte levels.
Administer a proton pump inhibitor via the intravenous route.
Keep the head of the bed elevated.

Explanation

Answer: D - The nursing intervention that would be most likely to prevent aspiration would be to keep the head of the bed elevated at least 30 degrees. The other options do not help to prevent against aspiration.

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