A nurse is caring for a client who has an NG tube with intermittent suction. Which of the following actions should the nurse take?

Flush the tube with 0.9% sodium chloride.

Replace the NG tube every 24 hr.

Position the client supine in bed.

Increase the suction pressure as tolerated.

Answer and Explanation

The Correct Answer is A

A.   Flushing the NG tube with 0.9% sodium chloride helps maintain patency and prevents obstruction. It is a standard practice to flush NG tubes before and after administering medications or feedings.
B.   NG tubes are not routinely replaced every 24 hours unless there is a specific clinical indication to do so.
C.   The position of the client depends on the clinical situation, but supine position alone does not address NG tube care.
D.   Suction pressure should be set according to the physician's orders and the patient's tolerance, but it should not be increased arbitrarily without clinical indication.

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Correct Answer is A

Explanation

A. Wiping the nose instead of blowing it reduces the risk of trauma to the nasal mucosa, which can lead to bleeding, especially in individuals with thrombocytopenia.
B. Removing shoes inside the house is a general hygiene practice and does not specifically address the risk of bleeding associated with thrombocytopenia.
C. Using an enema to manage constipation is unrelated to thrombocytopenia and may not be indicated without further assessment and guidance from healthcare providers.
D. While oral hygiene is important, flossing may increase the risk of gum bleeding in individuals with thrombocytopenia, and its frequency should be discussed with healthcare providers.

A. Add medication directly to enteral feeding. B. Flush the NG tube with 5 mL water. C. Dissolve the medications together. D. Use a syringe to allow the medications to flow by gravity.

Correct Answer is D

Explanation

A. Adding medication directly to enteral feeding can cause clogging of the tube and interfere with medication absorption.
B. Flushing with only 5 mL of water is insufficient. Typically, the tube should be flushed with 15-30 mL of water before and after administering each medication to ensure the tube is clear and to prevent clogging.
C. Dissolving medications together may lead to drug interactions or alterations in drug absorption and should be avoided.
D. Using a syringe to allow the medications to flow by gravity ensures that the medications are delivered safely and steadily. After each medication is administered, the tube should be flushed with water to ensure it is clear and to prevent interactions between different medications.

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A nurse is caring for a client who has an NG tube with intermittent suction. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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