Answered step-by-step 1 When inserting a nasogastric or naso

Answered step-by-step 1 When inserting a nasogastric or nasoenteric tube, the… 1  When inserting a nasogastric or nasoenteric tube, the patient is assisted to a high-Fowlers position to facilitate _______________ and to prevent _______________.   a.  gag reflex; vomiting   b.  tube insertion; aspiration   c.  swallowing; injury to the nasal mucosa   d.  hyperextension of the neck; soiling the patient’s gown    0.5 points    2  To determine the distance the NG tube must be inserted to reach the stomach, measure from the tip of the nose to the earlobe and from the earlobe to the _______________.   a.  xiphoid process   b.  6th rib at the left midclavicular line   c.  manubriosternal angle (angle of Louis)   d.  costal margin at the left midclavicular line    0.5 points    3  Which is the most reliable method of confirming placement of a nasogastric or nasoenteric tube the nurse can perform?   a.  x-ray verification   b.  determining if the patient is able to speak   c.  aspirating stomach contents and measuring pH   d.  listening with a stethoscope while injecting air into the tube    1 points    4  To prevent bacterial growth, how often should the nurse change the enteral feeding administration set (tube feeding bag and tubing)?  Every:   a. 4-6 hours   b. 8 hours   c. 24 hours   d. 72 hours    1 points    5  The pH of gastric contents normally ranges between _____ and _____.   a. 1 and 4   b. 4.5 and 8   c. 6 and 9   d. 7.35 and 7.45    1 points    6  While the patient is receiving continuous tube feedings via enteral pump, the nurse should assess the gastric residual volume every _____ to _____ hours.   a. 2 to 4 hours   b. 4 to 6 hours   c. 8 to 12 hours   d. 12 to 24 hours    1 points    7  While inserting a nasogastric or nasoenteric tube the patient begins to cough. What should be the initial response by the nurse:   a.  Quickly continue to insert the tube telling patient to swallow more   b.  Remove the tube until coughing stops, have patient tuck chin to chest and swallow to advance the tube   c.  Pause until the coughing stops then resume inserting tube   d.  Tell the patient to hold their breath until you finish    1 points    8 Match the correct answer to each . Answer can be used once or multiple times.  – A. B. C.   Amount (in mLs) of aspirated gastric residual volume that can be reinstilled after a residual check (to prevent fluid and electrolyte imbalance).  More than this amount (or more than the formula flow rate for 1 hour) may indicate delayed gastric emptying.  – A. B. C.    Minimum height in degrees that the patient’s head should be elevated when receiving feedings through a gastric or enteric tube (to prevent aspiration and promote digestion)  – A. B. C.   mLs of water used to flush the enteral tube after instilling each medication (to prevent the tube from clogging and to prevent unwanted effects of medications given in combination) unless the patient has a fluid restriction  A. 20-30 B. 150 C. 30    1 points    9 A patient with difficulty swallowing is started on continuous tube feedings of a full strength commercial formula at 100 ml/hr. The patient has six diarrhea stools the first day. The action that is most appropriate for the nurse to take is to?    a. Slow the feeding flow rate.   b. Discontinue any water intake.   c. Notify the physician for a change in the formula.   d. Check the amount of residual feeding in the stomach.    1 points    10 A patient is receiving continuous tube feedings through a percutaneous endoscopic gastrostomy (PEG). To maintain safe and effective delivery of the tube feeding, the nurse should?   a. Flush the tube with 50 ml of water every 8 hours.   b. Obtain a daily x-ray for verification of tube placement.   c. Check tube placement and residual volume every 4 hours.   d. Position the patient on the left side with the head of the bed elevated 45 degrees.    1 points    11 A patient with acute pancreatitis has an NG tube to suction and is NPO. The nurse explains to the patient that the expected outcome of this treatment is?   a. Relief from nausea and vomiting.   b. Reduction of pancreatic secretion.   c. Removal of the precipitating irritants.   d. Control of fluid and electrolyte imbalance.    0.5 points    12 After insertion of a nasoenteric tube, the nurse should place the client in which position?   a. Supine   b. Right side-lying   c. Semi-Fowler’s   d. Upright in a bedside chair   Health ScienceScienceNursingNURS 4003Share

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