In advancing the NG tube, which technique provides the safest ...

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In advancing the NG tube, which technique provides the safest outcome?
 
  a. Rotate the tube if resistance is felt.
  b. Advance the tube in between swallows.
  c. Start with the patient's head flexed.
  d. Check the tube placement by instilling air and auscultating over the stomach.

Question 2

MC Clinical Situation: You have just completed an admission assessment on the following client, and based on the collected data, you begin the client care plan.
 
  The client is a 39-year-old single male admitted for upper right-quadrant pain following a week-long episode of flu-like symptoms. He has not eaten for 7 days and presents with signs and symptoms of dehydration and malnutrition. He has not been out of bed during the week. He lives alone and states he either buys frozen foods or eats in fast-food restaurants. The question below refers to the client care plan. (When filling in the content in the care plan, remember that the material is not necessarily related. This exercise is designed to determine your care plan knowledge base, not your medical knowledge.) Based on the collected data, select the letter of the short-term goal that is the most appropriate. Write the selected short-term goal in the appropriate section of the care plan. A. Improved skin turgor within 24 hours.
  B. Respiration unlabored and 20/minute.
  C. Able to ambulate without assistance.
  D. Noncompliance related to poor dietary habits.

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Answer to Question 1

A
If resistance is met, try to rotate the tube and see whether it advances. If there is still resistance, withdraw the tube, allow the patient to rest, relubricate the tube, and insert it into the other naris. Advance the tube 2.5 to 5 cm (1 to 2 inches) with each swallow of water. If the patient is not allowed fluids, instruct him to dry swallow or suck air through a straw. Initially, instruct the patient to extend his neck back against the pillow; insert the tube slowly through the naris with the curved end pointing downward. Verify tube placement. Check agency policy for preferred methods.

Answer to Question 2

A

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