When determining the length of the nasogastric tube for insertion, the nurse should measure the distance from the tip of the clients nose to the earlobe and from the earlobe to the

Symphysis Pubis

Umbilicus

Brachial Artery

Xiphoid process

Answer and Explanation

The Correct Answer is D

A. Symphysis pubis: This is not used in NG tube measurement; it’s used in bladder catheterization or pelvic assessments.

B. Umbilicus: Not part of the measurement for NG tube insertion.

C. Brachial artery: Not relevant to NG tube placement.

D. Xiphoid process: This is the correct anatomical landmark used to estimate the proper length for NG tube placement—from the nose to the ear to the xiphoid process ensures the tube reaches the stomach.

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Correct Answer is A

Explanation

A. Elevate the head of the bed: This is the first and most important action to reduce the risk of aspiration. The head of the bed should be elevated at least 30–45 degrees during and after the feeding.

B. Return gastric content into the gastrostomy tube: This is appropriate if residual volume is within acceptable range, but it’s not the first action.

C. Measure stomach contents: Measuring residual volume is necessary but is done after positioning the client properly.

D. Flush the tube with water: Flushing helps maintain patency but should be done after confirming placement and measuring residual.

A. "Filter your urine each day.” B. "Drink iter of fluid each day." C. “Choose sugar-sweetened beverages.” D. “Limit your calcium intake.”

Correct Answer is A

Explanation

A. "Filter your urine each day." Filtering urine helps catch passed stones for analysis to determine their type and prevent recurrence.

B. "Drink 1 liter of fluid each day." Clients should drink 2–3 liters per day to help flush the urinary tract and prevent stone formation.

C. "Choose sugar-sweetened beverages." Sugar-sweetened beverages can increase the risk of certain types of stones, especially uric acid stones.

D. "Limit your calcium intake." Restricting calcium is not routinely recommended; low calcium may increase oxalate absorption and stone risk. Diet changes should be individualized.

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When determining the length of the nasogastric tube for insertion, the nurse should measure the distance from the tip of the clients nose to the earlobe and from the earlobe to the

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a bolus enteral feeding to a client who has a gastrostomy tube. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has kidney stones Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client who has a body mass index (BMI) of 27. The nurse should place the client in which of the following BMI categories?

A nurse is assisting with teaching a client who has constipation, which of the following statements should the nurse include?

When determining the length of the nasogastric tube for insertion, the nurse should measure the distance from the tip of the clients nose to the earlobe and from the earlobe to the

A nurse collecting data from a client who has dehydration. Which of the following findings should the nurse expect?

A nurse is preparing to administer a soapsuds enema to an adult client. Which of the following actions should the nurse take?

A nurse is caring for a client who has a prescription for a stool guaiac test. The client asks the nurse about the purpose of the test. The nurse should respond by stating that the stool guaiac is testing for which of the following findings in the client's feces?

A nurse is collecting data from a client. Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration?

A nurse is caring for a client who has tolerated a clear liquid diet but not voided for 8 hours following surgery. Which of the following actions should the nurse take first?