A nurse needs to determine whether a nasogastric tube is ...

[APUS57]

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]

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.

[APUS57]

TYSM

[bimper21]

Gracias!