6. After having throat surgery, a patient is relocated to a hospital bed and instructed to use a small-bore nasogastric tube to receive continuous tube feedings. Which nursing procedure would the nurse start after inserting the tube to make sure it was positioned correctly? a. Auscultate the bowel sounds. b. Measure the gastric aspirate pH. c. Measure the amount of residual in the tube. d. Order radiographic examination of the tube.

6. After having throat surgery, a patient is relocated to a hospital bed and instructed to use a small-bore nasogastric tube to receive continuous tube feedings. Which nursing procedure would the nurse start after inserting the tube to make sure it was positioned correctly? a. Auscultate the bowel sounds. b. Measure the gastric aspirate pH. c. Measure the amount of residual in the tube. d. Order radiographic examination of the tube.

Basic Clinical Laboratory Techniques 6E

6th Edition

ISBN:9781133893943

Author:ESTRIDGE

Publisher:ESTRIDGE

Chapter3: Basic Hemostasis

Section3.2: Disorders Of Hemostasis

Problem 1CS

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A patient who is moved to a hospital bed following throat sur-gery is ordered to receive continuous tube feedings through a small-bore nasogastric tube. Following placement of thetube, which nursing action would the nurse initiate to ensurecorrect placement of the tube?a. Auscultate the bowel sounds.b. Measure the gastric aspirate pH.c. Measure the amount of residual in the tube.d. Order radiographic examination of the tube.
6.A client seeks medical attention after developing an acute abdominal pain. Which action by the nurse would help ensure accurate auscultation of the client’s bowel sound? a. Listening with the bell of the stethoscope b. Making sure the client’s bladder is empty before auscultation c. Listening for one minute in each quadrant to confirm absence of bowel sound d. Pressing the stethoscope gently but deeply into the abdomen
20) The second day after an 8-year-old child with a cardiac defect repair is transferred from the pediatric intensive care unit, the nurse observes the child's weight and respirations have increased. Which intervention is most important for the nurse to implement? A. View the daily weight graph. B. Restrict intake or oral fluids. C. Decrease IV flow rate. D. Assess bilateral lungs sounds. I
A nurse is administering an oral medication to a patient viaa gastric tube. The nurse observes the medication enter thetube, and then the tube becomes clogged. What would be theappropriate initial action of the nurse in this situation?a. Attempt to dislodge the medication with a 10-mL syringe.b. Notify the primary care provider.c. Remove the tube and replace it with another tube.d. Flush the tube with 60 mL of water.
The nurse is administering a medication to a patient via anasogastric tube. Which are accurate guidelines related to thisprocedure? Select all that apply.a. Crush the enteric-coated pill for mixing in a liquid.b. Flush open the tube with 60 mL of very warm water.c. Check for proper placement of the nasogastric tube.d. Give each medication separately and flush with waterbetween each drug.e. Lower the head of the bed to prevent reflux.f. Adjust the amount of water used if patient’s fluid intake isrestricted.
Older adults often have reduced vital capacity as a result ofnormal physiologic changes. Which nursing interventionwould be most important for the postoperative care of anolder surgical patient specific to this change?a. Take and record vital signs every shift.b. Turn, cough, and deep breathe every 4 hours.c. Encourage increased intake of oral fluids.d. Assess bowel sounds daily.
A 32 weeks patient is admitted to the maternity unit with severe preeclampsia. While her vital signs are being checked by the nurse she goes into convulsion, Which nursing action would be contraindicated in caring for the patient during an episode of convulsive eclampsia? a. Not leaving the client b. Keeping air passages clear of secretions c. Firmly restraining the client to prevent injury d. Having side rails up and padded
A nurse is administering heparin subcutaneously to a patient.What is the correct technique for this procedure?a. Aspirate before giving and gently massage after theinjection.b. Do not aspirate; massage the site for 1 minute.c. Do not aspirate before or massage after the injection. d. Massage the site of the injection; aspiration is not neces-sary but will do no harm.
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The client is weak and begins coughing while attempting to drink through a straw. Which intervention should the nurse implement? A. Teach coughing and deep breathing exercises B. Assess the client's oral cavity for ulceration C. Request thick nectar liquid for the client D. Monitior the client when using a straw for liquids
A nurse is administering a tube feeding for a patient who ispost bowel surgery. When attempting to aspirate the contents,the nurse notes that the tube is clogged. What would be thenurse’s next action following this assessment?a. Use warm water and gentle pressure to remove the clog.b. Use a stylet to unclog the tubes.c. Administer cola to remove the clog.d. Replace the tube with a new one.
A client returns from surgery with a nasogastric tube and intermittent gastric suction to provide abdominal decompression. Which of the following are correct nursing activities for managing the equipment and drainage? Select all that apply. a. When irrigating the nasogastric tube, use sterile water b. Document the consistency and amount of drainage c. Wear sterile gloves when irrigating the nasogastric tube d. Wear nonsterile gloves when emptying the drainage container e. Apply water-soluble lubricant if the client’s lips are dry
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