The nurse is caring for a client who has no cough or gag reflex ...

[asmith134]

The nurse is caring for a client who has no cough or gag reflex and is unable to take nutrients orally. Which device would be an appropriate choice for providing nutrition to this client?
 
  1. A nasogastric tube
  2. An orogastric tube
  3. A nasoenteric tube
  4. A jejunostomy tube

Question 2

Which clients would the nurse consider as candidates for an enteral access device?
 
  Select all that apply.
  1. The client who is NPO in preparation for surgery
  2. The client with an absent cough and gag reflex
  3. The postoperative client who returns to the unit following bowel resection who is unconscious secondary to sedation
  4. The client who has dysphagia and is unable to eat orally
  5. The client who overdosed on an oral medication

[C.mcnichol98]

Answer to Question 1

Correct Answer: 4

The client with an absent cough and gag reflex should not have an oral or nasal tube placed, because of the risk of aspiration. However, a jejunostomy tube would be a safe choice, because of the reduced risk of reflux into the esophagus.

Answer to Question 2

Correct Answer: 3,4,5

Indications for enteral access devices include providing a route for feeding the client; preventing nausea, vomiting, and gastric distention following surgery; removing contents for laboratory analysis; and lavaging the stomach following poisoning or overdose of medication. The client who is NPO in preparation for surgery would not require an enteral access device at this time. The client with an absent cough and gag reflex should not have a nasogastric tube inserted, because there would be no indication if it was displaced.

[asmith134]

Thank you

[C.mcnichol98]

No problemo