The nurse will irrigate a patient's nasogastric (NG) tube. Which ...

[09madisonrousseau09]

The nurse will irrigate a patient's nasogastric (NG) tube. Which action should the nurse take?
 
  a. Instill solution into pigtail slowly.
  b. Check placement after instillation of solution.
  c. Immediately aspirate after instilling fluid.
  d. Prepare 60 mL of tap water into Asepto syringe.

Question 2

A patient had an ileostomy surgically placed 2 days ago. Which diet will the nurse recommend to the patient to ease the transition of the new ostomy?
 
  a. Eggs over easy, whole wheat toast, and orange juice with pulp
  b. Chicken fried rice with fresh pineapple and iced tea
  c. Turkey meatloaf with white rice and apple juice
  d. Fish sticks with sweet corn and soda

[Sassygurl126]

Answer to Question 1

ANS: C
After instilling saline, immediately aspirate or pull back slowly on syringe to withdraw fluid. Do not introduce saline through blue pigtail air vent of Salem sump tube. Checking placement before instillation of normal saline prevents accidental entrance of irrigating solution into lungs. Draw up 30 mL of normal saline into Asepto syringe to minimize loss of electrolytes from stomach fluids.

Answer to Question 2

ANS: C
During the first few days after ostomy placement, the patient should consume easy-to-digest soft foods such as poultry, rice, and noodles. Fried foods can irritate digestion. Foods high in fiber will be useful later in the recovery process but can cause food blockage if the GI tract is not accustomed to digesting with an ileostomy. Foods with indigestible fiber such as sweet corn, popcorn, raw mushrooms, fresh pineapple, and Chinese cabbage could cause this problem.