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concept of nursing 1
Enteral nutrition 2
| Question | Answer |
|---|---|
| For intestinal placement of a feeding tube, in what position should the nurse place the patient while waiting for radiological confirmation of correct placement? | On the patient's right side |
| The health care provider just left the patient’s room after explaining the options of NG or NI feeding tube placement. A student asks a nurse about the differences between nasogastric and nasointestinal feedings. | -- |
| Which of the following are accurate statements made by the nurse? | -Gastric aspirate is expected to have a lower pH than intestinal aspirate. Correct -The advantage to an NI tube is that there is less risk for aspiration. Correct - Both NG and NI tubes are usually used for less than 30 days. |
| The nurse is inserting an NG feeding tube for the first time. Which action, if made by the nurse, indicates further instruction is needed? | The nurse has the patient flex the head as the tube is inserted into the naris. |
| The patient begins to cough and choke as the nurse is inserting the NG tube. What is the best action for the nurse to take at this time? | Pull the tube back into the posterior nasopharynx and attempt to reinsert. |
| The patient’s wife is watching as the nurse prepares to insert a small bore feeding tube. She asks the nurse, "What is the purpose of the guide wire?" The nurse correctly responds: | "Because feeding tubes are flexible, a guide wire or stylet is used to provide rigidity that facilitates positioning." |
| You have inserted an NG feeding tube. The patient vomited during insertion and continues to gag. What action(s) should you take? | -Suction airway as needed. Correct -Position patient on side. Correct -Contact health care provider for possible chest x-ray |