A nurse is checking for proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?
Verify the bilirubin level of the tube contents.
Auscultate for air insufflation.
Request a chest x-ray.
Check the pH level of gastric contents.
The Correct Answer is C
A. Verifying the bilirubin level of the tube contents is not a reliable method for confirming tube placement and may not provide accurate information.
B. Auscultating for air insufflation can help detect tube placement in the respiratory tract but may not reliably confirm placement in the gastrointestinal tract.
C. Requesting a chest x-ray is the most reliable method for confirming the placement of a feeding tube, as it allows visualization of the tube's position relative to anatomical landmarks.
D. Checking the pH level of gastric contents can help differentiate between gastric and respiratory placement but may not provide definitive confirmation of tube placement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A) A client reports being dissatisfied with the temperature of the meals provided. - This situation does not pose a risk to the client's safety or result in harm, so an incident report is not necessary.
B) A client receives burns from a heating pad. - Any incident resulting in harm to the client, such as burns from a heating pad, should be documented with an incident report.
C) A client becomes disoriented and falls out of bed. - Falls resulting in injury or disorientation require documentation via an incident report.
D) A client is unable to afford the physical therapy that the provider recommends. - Financial constraints do not necessitate an incident report.
E) A client's visitor becomes dizzy and faints in the client's room. - Incidents involving visitors, especially if they occur in the client's presence, should be documented with an incident report.
Correct Answer is C
Explanation
A. Occupational therapist- While an occupational therapist may play a role in the client's care, their expertise may not be directly related to addressing concerns about BMI and diet.
B. Pharmacist- The pharmacist's expertise may be valuable in medication management but is not specifically focused on addressing concerns related to BMI and diet.
C. Dietician- A dietician is specialized in nutrition and can provide valuable guidance and interventions for clients with concerns about BMI and dietary habits.
D. Spiritual support personnel- Spiritual support personnel may provide emotional and spiritual support but may not have the expertise needed to address concerns related to BMI and diet.
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