Before inserting a nasogastric tube, the nurse should measure from the:
a. tip of the nose to the earlobe to the xiphoid process.
b. bridge of the nose to the xiphoid process.
c. nose to the top of the ear to the stomach.
d. clavicular notch to the stomach.
A
The measurement is from the tip of the nose to the ear lobe to the xiphoid process.
You might also like to view...
A homeless client is being admitted to the acute medical–surgical unit in a hospital. The nurse predicts which of the following as health risks for this client? Standard Text: Select all that apply
1. Improper nutrition 2. Lack of social support 3. Sleep needs usually met 4. Increased susceptibility to infection 5. Poor personal hygiene
The nurse admits a 79-year-old to the nursing home with differential diagnosis of dementia. Recently, the client has exhibited symptoms that include persistent elevation of his temperature, chronic diarrhea, and some palsy
Which of the following assessments should the health care team pursue? A) HIV testing B) An x-ray to test for a fecal impaction C) Testing for Parkinson's disease D) A complete nutritional assessment
The patient is admitted with pancreatitis and has severe ascites. In caring for this patient, the nurse should:
a. monitor the patient's blood pressure and evaluate for signs of dehydration. b. restrict intravenous and oral fluid intake because of fluid shifts. c. avoid the use of colloid IV solutions in managing the patient's fluid status. d. only use crystalloid fluids to prevent IV lines from clotting.
A client is scheduled for lung resection surgery. What should the nurse keep in mind when determining this client's degree of risk for this major surgical procedure?
1. Age 2. Medications 3. General health 4. Blood pressure 5. Nutritional status