A nurse is preparing to remove an NG tube for a patient.
Which of the following actions should the nurse take first?

Perform hand hygiene and don gloves

Verify provider order to discontinue the tube

Observe the amount and color of drainage

Disconnect the tube from the wall suction .

Answer and Explanation

The Correct Answer is B

The correct answer is Choice B.

Step 1 is to verify the provider’s order to discontinue the tube. It is crucial to ensure that the removal of the NG tube is in accordance with the provider’s orders before proceeding with the removal process.

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Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Auscultating stomach sounds is an important step before administering a tube feeding. This helps to ensure that the gastrointestinal system is functioning properly and can handle the feeding.

Choice B rationale

Warming the formula to body temperature can help to increase the comfort of the client during the feeding. However, it is not a necessary step and can be skipped if the client does not have a preference.

Choice C rationale

Assisting the client to sit in an upright position is crucial before administering a tube feeding. This position reduces the risk of aspiration, which can occur if the formula enters the lungs.

Choice D rationale

Discarding residual gastric contents is not recommended. Instead, the nurse should check for residual before the feeding, and if the volume is above the predetermined threshold, the feeding should be delayed and the healthcare provider notified.

A. The nurse allows the client to rest in a supine position during feeding. B. The nurse irrigates the NG tube with tap water after feeding. C. The nurse administers the feeding through a syringe barrel by gravity. D. The nurse initiates the feeding after aspirating 50 ml of gastric residual. E. The nurse initiates the feeding after aspirating 50 ml of gastric residual.

Correct Answer is A

Explanation

Choice A rationale

Allowing the client to rest in a supine position during feeding should prompt the charge nurse to intervene. The client should be in an upright position during feedings and for an hour afterwards to prevent aspiration.

Choice B rationale

Irrigating the NG tube with tap water after feeding is a standard practice. This helps to keep the tube patent and prevent blockages.

Choice C rationale

Administering the feeding through a syringe barrel by gravity is a common method for giving intermittent tube feedings. This method allows for controlled administration of the feeding.

Choice D rationale

Initiating the feeding after aspirating 50 ml of gastric residual is a standard practice. Checking gastric residual volume before feedings helps to assess gastric emptying and tolerance to the feeding.

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A nurse is preparing to remove an NG tube for a patient. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient in a long-term care facility who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse complete prior to administering the tube feeding? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A charge nurse is observing a nurse administer intermittent tube feedings via an NG tube to a client. Which of the following actions by the nurse should prompt the charge nurse to intervene?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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A nurse is preparing to remove an NG tube for a patient.
Which of the following actions should the nurse take first?