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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Rectum: The rectum is the final part of the GI tract where waste is stored before elimination; it is not the starting point.
B. Stomach: The stomach is an intermediate organ in the digestion process; food reaches it after the mouth and esophagus.
C. Small intestine: The small intestine is involved in nutrient absorption but is not the starting point.
D. Mouth: Digestion begins in the mouth, where mechanical breakdown by chewing and chemical digestion by saliva start the digestive process.
Correct Answer is D
Explanation
A. "The end of the stoma will be painful after this procedure": The stoma has no nerve endings, so it should not be painful.
B. "You should expect your stoma to be a purple color.": A healthy stoma is pink to red; purple or dark color suggests poor perfusion and requires immediate attention.
C. "You will have solid stool pass through your stoma.": An ileostomy produces liquid to semi-liquid stool, as the large intestine (which absorbs water) is bypassed.
D. "You will have a stoma placed in your right lower abdomen.": An ileostomy is usually created from the ileum and placed in the right lower quadrant.
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