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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

A.

Symphysis Pubis

B.

Umbilicus

C.

Brachial Artery

D.

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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Related Questions

Correct Answer is D

Explanation

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.

Correct Answer is D

Explanation

A. Discard the client's last void of the collection time period: The last void must be saved, as it is part of the 24-hr collection.

B. Include toilet paper with the collected urine: Toilet paper must not be included; it contaminates the specimen.

C. Save the first void at the start of the collection time period: The first void is discarded to start the timing and ensure that only the urine produced during the 24 hours is collected.

D. The nurse should discard the first void to obtain an accurate specimen: This is the correct protocol for accurate timing and collection.

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