A nurse is caring for a client who has taken an overdose of ...

[Marty]

A nurse is caring for a client who has taken an overdose of ibuprofen. Which of the following tubes is most suitable for removing the toxic substances?
 
  A) Orogastric tube
  B) Nasointestinal tube
  C) Sump tube
  D) Nasogastric tube

Question 2

An elderly woman's poor nutritional status, low body mass index, and impaired mobility have put her at a high risk for developing pressure ulcers.
 
  This client's nurse should prioritize which of the following actions in order to prevent her development of pressure ulcers? A) Drag the client slowly and carefully when repositioning.
  B) Massage skin regions that have early signs of skin breakdown.
  C) Maintain the client's hygiene and wash her frequently with soap.
  D) Ensure that the client's position is changed frequently and regularly.

[CourtneyCNorton]

Answer to Question 1

A
Feedback:
An orogastric tube inserted at the mouth into the stomach is used in an emergency to remove toxic substances that have been ingested. The diameter of the tube is large enough to remove pill fragments and stomach debris. A nasointestinal tube is used to provide nourishment to the client. Sump tubes are used almost exclusively to remove fluid and gas from the stomach. A nasogastric tube is placed through the nose and advanced to the stomach. It is smaller in diameter than an orogastric tube; hence, it is not suitable for removing pill fragments and stomach debris quickly.

Answer to Question 2

D
Feedback:
Frequent repositioning is imperative to preventing pressure ulcers. Clients should never be dragged while being repositioned and the frequent use of soap should be avoided. Healthy skin may be massaged, but areas with signs of early skin breakdown should never be massaged.