A nurse is preparing to remove an NG tube for a client. Which of the following actions should the nurse take first?
Verify provider order to discontinue the tube.
Observe the amount and color of drainage.
Perform hand hygiene and don gloves.
Disconnect the tube from the wall suction.
The Correct Answer is A
A. Verify provider order to discontinue the tube:
The first action in the nursing process is to verify the provider’s order before removing any medical device. It ensures the action is legally and clinically appropriate.
B. Observe the amount and color of drainage:
Important to evaluate after the order is confirmed, but not the first step.
C. Perform hand hygiene and don gloves:
Necessary for infection control, but only after verifying the order.
D. Disconnect the tube from the wall suction:
This is part of the procedure itself, not the initial preparatory step.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. At the time of documentation:
Documentation occurs after medication administration. It is not a safety check point.
B. In the nurse’s station while reviewing the provider's prescription:
This is part of the first check, not the final one.
C. At the client's bedside before administration:
The third and final medication check should occur immediately before administering the drug at the bedside, confirming right client, drug, dose, route, and time.
D. In the area where the nurse obtained the medication:
This is typically the second check, not the final one.
Correct Answer is A,D,F,E,B,C
Explanation
A. Place client in high Fowler's position.
To prevent aspiration and align the esophagus for easier insertion.
D. Measure tube for placement.
From nose → earlobe → xiphoid process to determine proper depth.
F. Lubricate the tube.
Reduces friction and trauma during insertion.
E. Insert tube along the base of nares.
Following the nasal floor helps guide the tube correctly.
B. Advance tube downward and backward.
While instructing the client to swallow, helping the tube pass into the esophagus.
C. Check position of tube and secure.
Confirm placement (pH test or x-ray) and then tape to nose.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.