Author Question: A nurse is following a physician's order to irrigate the NG tube of a client. Which of the following ... (Read 52 times)

sam.t96 · **on:** Jul 23, 2018

A nurse is following a physician's order to irrigate the NG tube of a client. Which of the following is a recommended guideline in this procedure?

A) Assist client to 30- to 45-degree position, unless this is contraindicated.
B) Draw up 60 mL of saline solution (or amount indicated in the order or policy) into syringe.
C) If Salem sump or double-lumen tube is used, make sure that syringe tip is placed in the blue air vent.
D) If unable to irrigate the tube, reposition client and attempt irrigation again; inject 20 to 30 mL of air and aspirate again.

Question 2

A physician orders a retention enema for a client to destroy intestinal parasites. Which of the following enemas would be indicated for this client?

A) Oil retention enema
B) Carminative enema
C) Anthelmintic enema
D) Nutritive enema

Pswine · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
To irrigate an NG tube, assist the client to 30- to 45-degree position, unless this is contraindicated. Pour the irrigating solution into the container and draw up 30 mL of saline solution (or amount indicated in the order or policy) into syringe. If Salem sump or double-lumen tube is used, make sure that syringe tip is placed in the drainage port and not in the blue air vent. If unable to irrigate the tube, reposition the client and attempt irrigation again. Inject 10 to 20 mL of air and aspirate again.

Answer to Question 2

Ans: C
Anthelmintic enemas are administered to destroy intestinal parasites. Oil retention enemas help to lubricate the stool and intestinal mucosa, making defecation easier. Carminative enemas help to expel flatus from the rectum and relieve distention. Nutritive enemas are administered to replenish fluids and nutrition rectally.