A nurse is caring for a client who is admitted with abdominal distention on a medical-surgical unit with an NG tube in place to low gastric suction. The client reports anxiety, discomfort, and a feeling of bloating. Which of the following actions is the nurse's priority?

Remove and reinsert the NG tube.

Request a prescription for a medication to ease the client's anxiety.

irrigate the NG tube with 100 mL of sterile water.

Check to see if the suction equipment is working

Answer and Explanation

The Correct Answer is D

A. Remove and reinsert the NG tube:
This is invasive and should only be done with a prescription after troubleshooting less invasive options.

B. Request a prescription for a medication to ease the client's anxiety:
While anxiety relief is important, it is not the priority. The discomfort likely stems from ineffective suctioning.

C. Irrigate the NG tube with 100 mL of sterile water:
The typical irrigation amount is 30 mL or less. 100 mL is excessive and may worsen distention.

D. Check to see if the suction equipment is working:
If the suction is not working, the NG tube may not be decompressing the stomach, leading to bloating and discomfort, which must be addressed first.

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Correct Answer is D

Explanation

A. "My largest meal of the day should be in the evening.":
Larger meals in the evening can increase bowel activity overnight, which may be inconvenient. Smaller, more frequent meals are usually recommended.

B. "Carbonated beverages can help control odor.":
Carbonated beverages can actually increase gas and worsen odor.

C. "I should eliminate pasta from my diet so that I don't have as many loose stools.":
Pasta is typically a low-residue food and is well tolerated in colostomy clients.

D. "Eating yogurt can help decrease gas odor that I have.":
Yogurt contains probiotics that help regulate gut flora and reduce odor and gas.

A. Promote active range-of-motion activities. B. Add fluid and fiber to the diet. C. Request that the provider prescribe a stool softener. D. Avoid gas-producing foods.

Correct Answer is B

Explanation

A. Promote active range-of-motion activities:
Helpful for general mobility but less effective alone in directly relieving constipation.

B. Add fluid and fiber to the diet:
Fiber increases stool bulk, and fluid softens stool, making both essential in managing constipation.

C. Request that the provider prescribe a stool softener:
May be appropriate, but dietary and lifestyle modifications are the first-line and safest approach before pharmacological interventions.

D. Avoid gas-producing foods:
This may reduce bloating but does not address the underlying cause of constipation.

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A nurse is caring for a client who is admitted with abdominal distention on a medical-surgical unit with an NG tube in place to low gastric suction. The client reports anxiety, discomfort, and a feeling of bloating. Which of the following actions is the nurse's priority?

Nursing Test Bank

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