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.

Answer and Explanation

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.

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Body System	Findings
Neurological	Alert and oriented to person, place, and time; deep tendon reflexes 4+
Musculoskeletal	Generalized weakness with equal bilateral muscle strength and mild leg cramping
Respiratory	: Lungs clear
Cardiovascular	: Heart rate irregular, Heart rate 95/min
Gastrointestinal	Bowel sounds hyperactive x 4 quadrants

Correct Answer is ["A","B","C","D"]

Explanation

An irregular heart rhythm could indicate potential cardiovascular issues. Additionally, deep tendon reflexes graded at 4+ suggest hyperreflexia, which may be associated with neurological disorders and should be investigated further.

Hyperactive bowel sounds in all four quadrants could indicate gastrointestinal hypermotility, which might require prompt assessment to determine the underlying cause.

Generalized weakness and mild leg cramping also require follow-up to determine the cause.

A. Tuna fish B. Clam chowder C. Cheese D. Chicken

Correct Answer is C

Explanation

A) Tuna fish - Tuna fish is a source of animal protein and is not suitable for a lacto- vegetarian diet, which excludes meat but includes dairy.
B) Clam chowder - Clam chowder typically contains seafood and is not suitable for a lacto-vegetarian diet.
C) Cheese - Cheese is a dairy product and is suitable for a lacto-vegetarian diet, which includes dairy but excludes meat.
D) Chicken - Chicken is a source of animal protein and is not suitable for a lacto- vegetarian diet.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is caring for a client who follows a lacto-vegetarian diet. Which of the following food choices should the nurse recommend?

Correct Answer is C

Explanation

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