QUIZ Flashcards
(19 cards)
The purpose of an NG tube is for feeding, prevention of nausea, vomiting, and gastric distention following surgery to remove stomach contents, and to wash (lavage) the
stomach?
True
False
True
Which patient would benefit from a Nasogastric Tube?
A patient with Congestive Heart Failure
A patient with a Platelet count of 50
A stroke victim who failed their swallow evaluation
A patient who had a left leg amputation
A stroke victim who failed their swallow evaluation
While a nurse is administering a cleansing enema. the client reports abdominal cramping. Which of the following is the
appropriate intervention?
Have a client hold his breath briefly
Discontinue the fluid installation
Remind the client that cramping is common at this time
Lower the enema fluid container
Lower the enema fluid container
You just inserted a Nasogastric tube. Which of the following is not a correct way to check correct placement of the tube?
Checking pH of Gl contents to be at 1 to 3.5
Obtaining a sample of GI contents through thetube by aspiration
Administering a 100cc Water flush and assessing for patient coughing
Following the MD order for an X-ray to confirm placement
Administering a 100cc Water flush and assessing for patient coughing
The nurse has delegated administration of a standard enema for a 72-year-old patient with constipation. Which statement made by nursing assistive personnel (NAP) requires the nurse to follow-up?
“ I’ll warm up the solution before instilling it.”
“I Il place the patient in the left side-lying position with the right knee bent.”
“ I’ll put a waterproof pad under the patient before I start.”
“ I’Il instill the solution and then check in on my other patients until I get the call signal.”
“I’ll warm up the solution before instilling it.”
Which action would the nurse take to reduce the risk of infection among patients and staff when administering an enema to an older adult patient with dementia?
Lubricate the tip of the rectal tube
Pad the patient’s bed thoroughly.
Perform hand hygiene before donning gloves
Help the patient onto a bedpan to expel the enema fluid and stool.
Perform hand hygiene before donning gloves
Which is not a type of NG tube
Levin tube
Lunar tube
Salem sump tube
Lunar tube
What bed position do you place the client in when inserting an NG tube?
Trendelenburg
Semi-Fowler
High Fowler
High Fowler
When you begin to insert the tip of the tube into the nostril, have the patient ___ his neck and advance the tube slowly, aiming his downward toward the ear.
Hyperextend
Hypoextend
Remain in same position
Hyperextend
Why are NG tubes not recommended for clients without intact gag and cough reflexes?
There is an increased risk of placing the tube into the lungs
The client won’t be able to swallow
Coughing helps place the tubing into the stomach
There is an increased risk of placing the tube into the lungs
Salem sump has a ___ lumen and levin ___ tube has_____ lumen.
Single, double
Double single
Triple, double
Double, triple
Double single
Which is NOT a way of verifying NG tube placement at the bedside?
How will you position the patient during enema administration?
Left sims position
Right sims position
Dorsal recumbent position
Side lying
Left sims position
Prior to insertion of the rectal tube, you will:
Cleanse the patients buttock
Cleanse the tip of the rectal tube
Lubricate at least 2 inches of the tube
Lubricate the entire tube
Lubricate at least 2 inches of the tube
You placed the patient in left side lying position with the right leg as acutely flexed as possible, during enema because:
This position facilitates the flow of solution to the stomach
This position facilitates the flow of solution to the small intestines
.This position facilitates flow of solution to the colons.
This position facilitates flow of solution to the colons.
Upon insertion of the rectal tube, you instructed your client to take a deep
This will relieve her anxiety
This will relax the rectum
This will relax the internal anal sphincter
This will alleviate her pain
This will relax the internal anal sphincter
While inserting the rectal tube, you encountered resistance. The appropriate action will be:
Assess for bowel sounds and check patency
Slowly administer the enema solution
Run a small amount of solution to the tube
Lower the enema can
Run a small amount of solution to the tube
A commonly used hypertonic enema is:
Catile soap
Mineral oil
Tap water
Fleet phosphate
Fleet phosphate
You are aware that upon enema tube insertion, you will direct it:
Towards the rectum
Towards the umbilicus
Along the spine
Towards the cecum
Towards the umbilicus
