An appropriate measure for the nurse to implement for the client with a nasogastric tube in place is to:
A. Tape the tube up and around the ear on the side of insertion
B. Secure the tubing to the bed by the client's head
C. Mark the tube where it exits the nose
D. Change the tubing daily
C
C. Once placement is confirmed, a mark should be placed, either by making a red mark or using tape, on the tube to indicate where the tube exits the nose. The mark or tube length is to be used as a guide to indicate whether displacement may have occurred.
A. The tube should be taped to the nose, not to the ear.
B. The tubing should be secured to the client's gown, not to the bed.
D. The tubing should not be changed daily; it may be irrigated daily.
You might also like to view...
The nurse is sitting in a chair near the patient's bed, leaning forward to hear what the patient is saying, and does not interrupt. What is the nurse demonstrating?
a. Support b. Caring c. Active listening d. Interest
When inserting a urinary catheter into the male client, the nurse should hold the penis:
a. nearly level with the abdomen. c. at a 90° angle to the body. b. at a 45° angle to the body. d. so it points toward the chest.
What statement characterizes moral development in the older school-age child?
a. Rule violations are viewed in an isolated context. b. Judgments and rules become more absolute and authoritarian. c. The child remembers the rules but cannot understand the reasons behind them. d. The child is able to judge an act by the intentions that prompted it rather than just by the consequences.
What is the usual dose in mL for a skin test?
What will be an ideal response?