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: Decreased bowel sounds are not typically associated with diarrhea. Diarrhea usually presents with
increased bowel sounds due to hyperactive gastrointestinal motility.
Choice B reason: A rigid abdomen may suggest an acute abdomen that requires immediate medical attention, not a common finding in uncomplicated cases of diarrhea.
Choice C reason: Hypothermia is not a common finding in diarrhea. Fever may occur if the diarrhea is infectious in
origin.
Choice D reason: Dehydration is a common finding in patients with prolonged diarrhea due to excessive loss of fluids
and electrolytes.
Correct Answer is B
Explanation
Choice A reason: Metabolic alkalosis is not commonly associated with COPD. It occurs when there is an accumulation
of bicarbonate or a loss of hydrogen ions.
Choice B reason: Respiratory acidosis is a common acid-base imbalance in clients with COPD. It occurs due to the retention of CO2 as a result of reduced respiratory function.
Choice C reason: Metabolic acidosis is characterized by a decrease in serum bicarbonate and is not typically a direct
result of COPD.
Choice D reason: Respiratory alkalosis occurs when there is a decrease in CO2 levels, which is the opposite of what is expected in COPD.
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