Author Question: The nurse is inserting a small-bore nasogastric tube. Which action by the nurse is appropriate when ... (Read 112 times)

chads108 · **on:** Jun 25, 2018

The nurse is inserting a small-bore nasogastric tube. Which action by the nurse is appropriate when completing this procedure?

1. Removing the stylet prior to inserting the tube into the client's nose
2. Measuring from the tip of the client's nose to the xiphoid process to determine length of tube to be inserted
3. Checking the nares for patency prior to passing the catheter
4. Applying sterile gloves before beginning the procedure

Question 2

The nurse is assisting the client to eat. Which action by the nurse is the most appropriate?

1. Sitting on the side of the bed while feeding the client
2. Telling the client to sit back and relax while the nurse does all the work
3. Asking what the client would like to eat or drink next
4. Feeding the client quickly to decrease the feeling of being a burden

cat123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3

The nurse should check the nares for patency before passing the catheter, to check for any obstructions or irregularities. The stylet should remain in place when passing a small-bore tube in order to provide some rigidity to the flexible catheter. The length of tube to be inserted is measured from the tip of the nose to the pinna and then to the xiphoid process. Sterile gloves are not required.

Answer to Question 2

Correct Answer: 3

The nurse should consult the client regarding which food or drink that client would like to eat next. Although the nurse should sit at the bedside, it is not appropriate to sit on the bed. Each client should be encouraged to participate to the fullest extent possible to increase autonomy. The nurse should set an unhurried pace when feeding the client to reduce feelings of dependence.