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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Wearing sterile gloves is not necessary when draining an ileostomy bag as this is not a sterile procedure. Clean gloves are typically used.

Choice B reason: Washing the skin surrounding the ileostomy with hot water is not recommended as it can cause
irritation. Lukewarm water should be used, and the area should be patted dry.

Choice C reason: Cleaning the end of the ileostomy pouch before clamping is important to maintain hygiene and
prevent contamination when draining the bag.

Choice D reason: The ileostomy bag should be emptied when it is one-third to one-half full to prevent leakage and ensure comfort for the client.

A. Hyperglycemia B. Hypovolemia C. Hypercalcemia D. Hypokalemia

Correct Answer is A

Explanation

Choice A reason: An IV infusion of dextrose 10% in water can cause hyperglycemia, which is an elevated blood sugar
level.

Choice B reason: Hypovolemia, or decreased blood volume, is not a typical adverse effect of dextrose infusion.

Choice C reason: Hypercalcemia, or high calcium levels in the blood, is not associated with dextrose infusion.

Choice D reason: While dextrose infusion can affect electrolyte balance, hypokalemia, or low potassium levels, is not
the primary concern with dextrose infusion.

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A nurse is inserting an NG tube for a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with evaluating a newly licensed nurse who is draining an ileostomy bag for a client. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

Correct Answer is C

Explanation

A nurse is assisting with the care of a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?

Correct Answer is A

Explanation

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