A nurse is preparing to administer an enteral feeding to a client who has an NG tube in place.
Which of the following methods should the nurse use to verify the correct placement of the NG tube?
Check the pH of the gastric aspirate.
Observe the color of the gastric aspirate after adding blue dye to the formula.
Auscultate over the epigastrium.
Measure the length of the inserted NG tube.
The Correct Answer is A
A. Correct. Checking the pH of the gastric aspirate is the most reliable method to verify the correct placement of the NG tube. Gastric aspirate typically has an acidic pH (pH < 5), indicating that the tube is in the stomach.
B. Observing the color of the gastric aspirate after adding blue dye to the formula is not a standard or recommended method for verifying NG tube placement.
C. Auscultating over the epigastrium may help to identify the presence of air in the stomach, but it does not confirm that the NG tube is correctly placed in the stomach or the intestines.
D. Measuring the length of the inserted NG tube can help determine the distance from the nose to the stomach, but it does not ensure correct placement in the stomach.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Rhabdomyolysis is a condition that occurs when skeletal muscle tissue breaks down rapidly due to injury, infection, drug toxicity, or other causes. The breakdown of muscle releases myoglobin, a protein that carries oxygen in muscle cells, into the bloodstream. Myoglobin can damage the kidneys by clogging the renal tubules and causing acute kidney injury. Rhabdomyolysis can also cause electrolyte imbalances, muscle weakness, and compartment syndrome.
Correct Answer is C
Explanation
Barrett's esophagus is a condition in which the normal squamous epithelium of the esophagus is replaced by columnar epithelium due to chronic acid reflux. This can increase the risk of esophageal cancer and cause symptoms such as dysphagia, odynophagia, and a sensation of a lump in the throat.
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