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 C
Explanation
Choice A reason: The reservoir bag on a nonrebreather mask should not collapse with exhalation. It is designed to maintain a continuous flow of oxygen and reserve a volume of oxygen for the patient to inhale with each breath.
Choice B reason: While high-flow oxygen can dry a patient's mucous membranes, a nonrebreather mask typically has a high oxygen flow rate, and humidification can be used to prevent drying.
Choice C reason: A nonrebreather mask must fit snugly over the patient's face to ensure that the highest concentration of oxygen is delivered and that there is minimal dilution with room air.
Choice D reason: A nonrebreather mask is used to deliver high-flow oxygen, not low-flow. It is designed to provide a high concentration of oxygen, typically around 60% to 90% FiO2.
Correct Answer is B
Explanation
Choice A reason: While it is important to save the specimen in a clean container, this is not a preparatory action for
obtaining the specimen.
Choice B reason: Rinsing the client's mouth before collecting the specimen is the correct answer because it helps to remove food particles and bacteria that could contaminate the sample.
Choice C reason: Collecting a sputum specimen after a meal is not recommended as it may be contaminated by food particles.
Choice D reason: The time of day is less important than the preparation of the client; however, early morning is usually preferred for collecting a sputum specimen as it tends to be more concentrated after a night's rest.
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