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 B
Explanation
Choice A reason: Alternating liquids and solids is not a specific intervention for dysphagia management.
Choice B reason: Elevating the head of the bed to 45 degrees or higher during meals can help prevent aspiration in
clients with dysphagia.
Choice C reason: Telling a client with dysphagia to tilt their head back while swallowing can increase the risk of aspiration.
Choice D reason: Turning on the television is not a recommended practice as it can distract the client from focusing
on safe swallowing techniques.
Correct Answer is A
Explanation
Choice A reason: To calculate BMI, the nurse needs the client's height and weight. BMI is calculated by dividing the weight in kilograms by the square of height in meters.
Choice B reason: Skinfold thickness is used to estimate body fat percentage, not BMI.
Choice C reason: Waist circumference is used as a measure of abdominal obesity, not for calculating BMI.
Choice D reason: Daily calorie intake is not required for BMI calculation; it is more relevant for dietary assessments
and weight management plans.
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