A patient's NG tube has become clogged after the nurse instilled a medication that was insufficiently crushed. The nurse has attempted to aspirate with a large-bore syringe, with no success. What should the nurse do next?

Remove the NG tube promptly and obtain an order for reinsertion from the primary care provider.

Attach a syringe filled with warm water and attempt an in-and-out motion of instilling and aspirating.

Withdraw the NG tube slightly and attempt to dislodge by flicking the tube with the fingers.

Withdraw the NG tube 3 to 5 cm and reattempt aspiration.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Removing the NG tube without further attempts to unclog it may not be necessary and could be an unnecessary intervention.

Choice B reason:

This statement is correct. Attempting to unclog the NG tube with warm water and an in-and-out motion is an appropriate next step.

Choice C reason:

Flicking the tube with the fingers may not be effective in dislodging the clog, and it could potentially cause harm to the patient.

Choice D reason:

Withdrawing the tube 3 to 5 cm may not effectively address the clog and could potentially lead to complications.

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Correct Answer is B

Explanation

Choice A reason:

While lansoprazole can be taken with or without food, it is generally recommended to take it before a meal for optimal effectiveness in reducing stomach acid.

Choice B reason:

This is the correct answer. Taking lansoprazole 30 minutes before breakfast allows it to be most effective in reducing stomach acid production.

Choice C reason:

Taking lansoprazole after lunch may not provide the same level of effectiveness in reducing stomach acid as taking it before a meal.

Choice D reason:

Taking lansoprazole with a bedtime snack may not be as effective in reducing stomach acid as taking it before a meal. Additionally, it is generally recommended to take it in the morning.

A. Assess for signs of infection. B. Assess for a patent airway. C. Assess ability to clear oral secretions. D. Assess for ability to communicate.

Correct Answer is B

Explanation

Choice A reason:

While assessing for signs of infection is important, ensuring a patent airway takes precedence immediately following surgery.

Choice B reason:

This statement is correct. Assessing for a patent airway is the top priority in postoperative care to ensure the patient can breathe effectively.

Choice C reason:

Assessing the ability to clear oral secretions is important, but it is secondary to ensuring a patent airway.

Choice D reason:

Assessing the ability to communicate is important, but it is not the immediate priority after surgical resection for oropharyngeal cancer.

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A patient's NG tube has become clogged after the nurse instilled a medication that was insufficiently crushed. The nurse has attempted to aspirate with a large-bore syringe, with no success. What should the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?

Correct Answer is B

Explanation

A nurse is assessing a patient who has just been admitted to the postsurgical unit following surgical resection for the treatment of oropharyngeal cancer. What assessment should the nurse prioritize?

Correct Answer is B

Explanation

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A patient's NG tube has become clogged after the nurse instilled a medication that was insufficiently crushed. The nurse has attempted to aspirate with a large-bore syringe, with no success. What should the nurse do next?