A nurse, caring for a patient with a nasogastric tube, knows that best way to check correct placement of the tube is how?
A) Auscultation method after injecting air through the tube
B) Assessment of color of aspirate and laboratory testing of the aspirate
C) By taping the tube in place after the initial x-ray that confirms placement
D) A combination of visual assessment of aspirate, air auscultation, and measurement of tube length
Ans: D
Feedback: Use of a combination of the following methods is recommended: measurement of tube length, visual assessment of aspirate color, and air auscultation. Taping the tube in place does not guarantee it will stay in place. Option B is incorrect because it is not complete.
You might also like to view...
The nurse is caring for a client with an acute burn injury. Which action should the nurse take to prevent infection by autocontamination?
a. Use a disposable blood pressure cuff to avoid sharing with other clients. b. Change gloves between wound care on different parts of the client's body. c. Use the closed method of burn wound management for all wound care. d. Advocate for proper and consistent handwashing by all members of the staff.
The nurse has seen a 15-year-old girl and a 16-year-old boy during health-surveillance visits. Which of the following physical characteristics would be seen in both teenagers?
A) Decreased respiratory rates of 15-20 breaths per minute B) Eruption of last four molars C) Increased shoulder, chest, and hip widths D) Fully functioning sweat and sebaceous glands
A home health nurse is conducting a nutritional assessment on a client with moderate Alzheimer's disease (AD) when it is noted that he has lost 5 pounds over the past month
The nursing intervention best directed at managing the client's need for nutrition is to: 1. Provide finger-food snacks several times throughout the day. 2. Recommend referral to a nutritionist who is familiar with AD clients. 3. Suggest menu choices that encourage a mechanical soft diet. 4. Encourage meals that include at least one of the client's favorite foods.
The long-term care agency has recently announced that it will soon lay off six LPN/LVNs and hire eight nursing assistants
Today, the RN charge nurse presents the LPN/LVN charge nurse with a certificate recognizing her ability to manage effectively despite short staffing. The LPN/LVN responds somewhat politely but seems more angry than pleased. In terms of the Howlett hierarchy of needs, which of the following is the best explanation for the employee's reaction? a. The LPN/LVN is probably responding to the poor working conditions. b. When job security is threatened, recognition needs assume lesser importance. c. Achievement and advancement needs are more fundamental than recognition needs. d. The adequacy of benefits is more basic to job satisfaction than affiliation needs.