A nurse is determining the length of a nasogastric sump tube before inserting it inside a client. The nurse is placing the distal tip of the tube at the client's nose
To which of the following places should the nurse measure the tube distance for proper placement? A) The jaw and then midway to the sternum
B) The mouth and then between the nipples
C) The midsternum and then to the umbilicus
D) The ear and then to the xiphoid process
D
Feedback:
The nurse obtains the length from the nose to earlobe to the xiphoid process and marks the tube appropriately. The first mark on the tube is made at the measured distance from the nose to the earlobe. It indicates the distance to the nasal pharynx, a location that places the tip at the back of the throat but above where the gag reflex is stimulated. The nurse need not measure the distance from jaw to sternum, from mouth to nipples, and from midsternum to umbilicus as these are incorrect procedures.
You might also like to view...
A nurse is providing patient education to a female patient who is taking fludrocortisone. The nurse will instruct the patient to monitor which of the following at home?
A) Weight gain B) Thyroid hormone levels C) Heart rate D) Core body temperature
A middle-aged patient who has been treated for depression with SSRIs and cognitive-behavioral therapy has identified that passivity probably contributed to her depression. Which treatment modality would be best for the nurse to suggest?
a. Social skills training b. Assertive communication training c. Relaxation training classes d. Exercise therapy group
Which of the following is not an appropriate action to take when palpating a patient's abdomen?
a. Palpate painful or tender areas last. b. Instruct the patient to hold her breath throughout the examination. c. Palpate using gentle pressure initially and gradually increasing it. d. Allow the ticklish patient to perform self-palpation with your hand over the patient's hand.
The nurse is preparing to administer a medication IV push. What information does the nurse need to know before beginning the infusion? (Select all that apply.)
a. Any dilution required b. Rate of administration c. Compatibility with infusions d. Other routes of administration e. Specific monitoring needed