The nurse needs to verify feeding tube placement using the gastrointestinal (GI) pH measurement test. The NG tube placement was confirmed via x-ray 6 hours ago. After several attempts, the nurse is unable to aspirate GI fluid from the tube
The tube is secure and the external marking of the tube are in the original place. The patient appears to be tolerating the tube feedings and is not experiencing any distress. What should the nurse do? a. Contact the health care professional to order another x-ray for placement verification.
b. Instill 60 mL of air to check the placement with a stethoscope.
c. Increase the amount of water given to the patient to prevent GI distress.
d. Assume the tube is in the correct place.
D
If, after repeated attempts, it is not possible to aspirate fluid from a tube that was originally established by x-ray examination to be in desired position, and (a) there are no risk factors for tube dislocation, (b) there is no change in the external marked tube length, and (c) patient is not experiencing difficulty, assume the tube is correctly placed. Another x-ray is not needed. Flushing the tube with 30 ml, not 60, of air is to help obtain the aspirate, not to check placement. Checking for placement with air is an outdated process. Increasing the water will not check placement.
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For the client with ritualistic hand washing and an identified outcome of the use of more effective
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A patient who is taking phenytoin suspension (Dilantin-125) has been given instructions on its use. Which statement accurately describes the correct way to administer the drug?
a. Mix the liquid in food. b. Add the liquid to another beverage. c. Shake the container before use. d. Never shake the container before use.
Alcohol is a(n):
A) Central nervous system (CNS) stimulant B) CNS depressant C) Antipsychotic D) Antidepressant