ATI Fundamentals Retake 2019

Semiconscious client with small-bore NG tube. Verify correct placement: o X-ray examination, measure the length of the exposed tube, determine the pH of aspirated fluid.  How to irrigate wound: o Warm about 200 mL irrigating solution to 37 degree C (98.6 F) to avoid discomfort and vascular constriction o Use 30 mL syringe o 18- or 19-gauge catheter (smaller exert too much pressure on wound) o Give pain meds 20 to 30 minutes prior  Unemancipated minor (who don’t live on their own, not married, not in military) can legally sign CONSENT FORM  Ambulating using CANE who has right-sided weakness o Keep 2 points of support on the ground (either both feet or foot and the cane) o Hold the cane on the UNAFFECTED or stronger side of the body o Advance cane followed with UNAFFECTED or stronger leg o Support weight on both legs when moving the cane forward  Endotracheal Tube purpose of inflating the cuff o Stabilize position