Author Question: A nurse needs to determine whether a nasogastric tube is correctly placed. Which of the following ... (Read 35 times)

APUS57 · **on:** Jul 22, 2018

A nurse needs to determine whether a nasogastric tube is correctly placed. Which of the following techniques should the nurse perform?

A) Check placement using a stethoscope over the chest.
B) Obtain repeated x-rays.
C) Secure the tube to avoid migration.
D) Check the color of aspirated fluid.

Question 2

A nurse is assessing the nasal passages of a client before inserting a nasointestinal tube. Which of the following excludes a nostril for tube insertion?

A) Wide nasal passage
B) Presence of nasal polyps
C) Nasal hair growth
D) Undeviated nasal septum

dreamfighter72 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Feedback:
The nurse should check the color of the aspirated fluid. If the aspirated fluid appears clear, brownish-yellow, or green, the nurse can presume that its source is the stomach. The nurse should place the stethoscope over the abdomen, not the chest, and listen to the abdominal sounds. An abdominal x-ray is obtained to check the placement of the tube, but obtaining repeated x-rays is harmful to the client and unnecessary. Securing the tube to avoid migration does not confirm if it is in the stomach.

Answer to Question 2

B
Feedback:
A nostril is excluded from intubation if there is the presence of nasal polyps (small growths of tissue), a deviated septum, or a narrow nasal passage. Nasal hair does not preclude the insertion of a tube.