Which nursing action provides the most reliable means to assess placement of a client's nasogastric tube, prior to each medication administration?

A) Using auscultation technique
B) Measure pH of aspirates
C) Place end of tube in water and observe for bubbling
D) Radiographic confirmation


B
Feedback:
Measuring pH of aspirates is recommended method to confirm placement. Although radiographic confirmation is the most reliable method, this is usually reserved for initial placement or uncertainty of placement. X-rays would not be performed prior to each medication administration, not realistic. Auscultation technique and placing end of tube in water should not be used in determining location.

Nursing

You might also like to view...

The threat to internal validity that occurs when external co-occurring events or conditions affect outcomes is known as:

A) Maturation B) Selection C) Testing D) History

Nursing

How does a lacunar stroke differ from an ischemic CVA? (Select all that apply.)

a. Causes a great deal of pain b. Alters the personality c. Affects small arteries d. Nearly always results in blindness e. Produces a small amount of neurologic damage

Nursing

The nurse manager of a prenatal clinic has implemented interventions to individualize the prenatal care experience. Which patient statement indicates that the nurse's efforts have been successful?

A) "It was so nice to not have to wait long in the waiting room.". B) "I really hate having my weight and blood pressure measured around other people.". C) "Why does everyone push breastfeeding and natural childbirth? What about what I want?" D) "I thought you would have more reading material on labor and delivery in the waiting room.".

Nursing

The nurse evaluating the head and neck of a client would assess the carotid arteries by

a. asking the client to bear down and hold the breath while observing the arteries. b. auscultating the arteries with the diaphragm of the stethoscope. c. instructing the client to lie down and examining the arteries with oblique lighting. d. palpating the arteries simultaneously, comparing amplitudes, rates, and rhythms.

Nursing