A nurse is inserting an NG tube for a client. Which of the following actions should the nurse take?
Wear sterile gloves to insert the NG tube.
Ask the client to cough while inserting the NG tube.
Place the client into a left lateral position before inserting the NG tube.
Determine the length of the NG tube to be inserted prior to the procedure.
The Correct Answer is D
Choice A reason: Sterile gloves are not required for inserting an NG tube; clean gloves are sufficient as the nasal
cavity is not a sterile environment.
Choice B reason: The client should not be asked to cough while inserting the NG tube as this could disrupt the placement process. Instead, the client may be asked to swallow to facilitate the passage of the tube.
Choice C reason: Placing the client into a left lateral position is not the standard position for NG tube insertion. The
client should be in an upright or semi-Fowler's position to aid in the insertion process.
Choice D reason: Determining the length of the NG tube to be inserted is a crucial step to ensure that the tube
reaches the stomach without coiling in the esophagus or extending into the small intestine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Warm water should be used to clean the skin, as hot water can cause further irritation.
Choice B reason: Friction should be avoided when drying the skin to prevent damage. The skin should be patted dry
gently.
Choice C reason: Soap can be too harsh and drying for the skin, especially if it is already compromised by incontinence. A mild, pH-balanced cleanser is recommended.
Choice D reason: A barrier cream is essential to protect the skin from moisture and irritants found in urine, which can lead to skin breakdown and incontinence-associated dermatitis.
Correct Answer is A
Explanation
Choice A reason: Caffeinated beverages can cause diarrhea as caffeine stimulates the gastrointestinal tract and can
lead to increased bowel movements.
Choice B reason: Ripe bananas are typically recommended to manage diarrhea due to their pectin content, which can help absorb liquid in the intestines.
Choice C reason: White rice is often recommended for those with diarrhea as it is easy to digest and can help form
stools.
Choice D reason: Low fiber cereal is less likely to cause diarrhea compared to high fiber options, as fiber can accelerate the passage of food through the intestines.
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