The nurse is placing a NG tube in an older client with ...

[dakota nelson]

The nurse is placing a NG tube in an older client with malnutrition. During placement, the client begins to cough. What should the nurse do?
 
  1. Pause and then continue inserting the tube.
  2. Ask the client to swallow during insertion.
  3. Withdraw the tube.
  4. Check for placement of the tube.

Question 2

The nurse is caring for a client hospitalized for bulimia. The priority for the nurse is to:
 
  1. force food on the client.
  2. monitor the client for 1 hour after meals.
  3. provide good skin care.
  4. provide distraction during meals.

[jjorrostieta]

Answer to Question 1

Answer: 3

1. If the client coughs, the tube is entering the trachea. The nurse should withdraw the tube.
2. The client is asked to swallow during insertion, but coughing means the tube is in the wrong place.
3. Coughing indicates that the tube is in the trachea, and the tube should be immediately withdrawn.
4. Tube placement is not checked, but removed.

Answer to Question 2

Answer: 2

1. The nurse never forces treatment on a client.
2. The client with bulimia might have tried to force vomiting or take laxatives after a meal.
3. Skin care is important, but the priority is to ensure that the client does not purge meals.
4. Distraction during meals is irrelevant.