The nurse is to insert a nasogastric (NG) tube for a client with upper GI bleeding. Which instruction does the nurse give to the client before starting the procedure?
a. "You may take some sips of water when I begin to insert the tube into your nose."
b. "Please hold your breath when I insert the tube through your nose."
c. "Tilt your head down to your chest when the tube gets to the back of your throat."
d. "The distance from the end of your nose to your navel tells me which size tube to use."
C
Tilting the head down toward the chest after the NG tube has reached the back of the throat will facilitate intubation of the esophagus rather than the trachea. The client should be encouraged to mouth-breathe and swallow during the procedure. The tube should be measured from the nose to the earlobe to the xiphoid process. Sips of water should be encouraged once the tube is at the back of the throat, not at the beginning of the procedure.
You might also like to view...
The term "field notes" applies to which of the following:
A) the questions asked in an interview B) the operational definition of a variable C) the record of the researcher's observations D) an instrument used to measure specific data
A child with an ear infection is not responding to treatment with amoxicillin (Amoxil). The nurse will expect the provider to order:
a. amoxicillin–clavulanic acid (Augmentin). b. ampicillin. c. nafcillin. d. penicillin G (Benzylpenicillin).
Signs of a diaphragmatic hernia include all of the following, EXCEPT:
A) a scaphoid or concave abdomen. B) bilaterally absent breath sounds. C) noted increased work of breathing. D) audible bowel sounds in the chest.
Which wave indicates that an electrical impulse originated in the sinoatrial node?
a. An inverted T wave b. An upright T wave c. A negative P wave before a QRS complex d. A positive P wave before a QRS complex