Week 4: Nursing Skill: Nutrition:
Nursing Skill: Nasogastric Tube
Insertion and Removal Exam
Complete Questions And Correct
Detailed Answers (Verified Answers)
|Already Graded A+||Brand New
Version!!
assessment findings. Drag the assessment findings that require
further follow-up prior to this skill being performed to the box on
the right. - ANSWER//Assessment findings that require further
follow-up -Frequent nosebleeds -Motorcycle crash with facial
trauma -Client has been on anticoagulants for 1 year Case Study:
Nasogastric Tube Insertion You are the nurse preparing to insert a
nasogastric (NG) tube on your client who has been diagnosed with
an upper gastrointestinal (GI) bleed. Analyzing Cues Upon
assessment, you noted the following cues. Match each cue with the
associated potential risk. - ANSWER//-Client appears confused:
Risk for difficult insertion of nasogastric tube -Client has
continuous cough: Risk for insertion into tracheobronchial tree -
Client had nasal-facial surgery 5 years ago: Risk of intracranial
tube passage and neurological injury -Client is picking at tape on
hand: Risk for inadvertent extubation and/or dislodgement of tube
Case Study: Nasogastric Tube Insertion You are the nurse preparing
to insert a nasogastric (NG) tube on your client who has been
diagnosed with an upper gastrointestinal (GI) bleed. Prioritizing
Hypotheses After inserting the client's nasogastric tube and
confirming its placement via x-ray, you have completed your
scheduled assessment. Upon abdominal assessment, you note that
, the client's abdomen is distended, and the client is complaining of
abdominal pain 4/10. When you perform a respiratory system
assessment, you note dyspnea, cyanosis, a decrease in O2
saturation to 93%, and hear bilateral wheezes. Which one of the
potential issues is most likely to contribute to this? -
ANSWER//The nasogastric tube has been dislodged and may be in
the respiratory tract. Case Study: Nasogastric Tube Insertion You
are the nurse preparing to insert a nasogastric (NG) tube on your
client who has been diagnosed with an upper gastrointestinal (GI)
bleed. Generating Solutions The client's NG tube was removed. The
client continues to have decreased oxygen saturation and bilateral
wheezes. In addition, the client has now developed a fever. From
the list below, choose whether the potential interventions are
indicated or contraindicated for this client. - ANSWER//Indicated
-Notify the provider of the client assessment -Request chest x-ray
-Prepare to suction client Contraindicated -Position client flat Case
Study: Nasogastric Tube Insertion Taking Action Your client is on a
continuous enteral feeding tube and appears confused. You suspect
their nasogastric (NG) tube has been displaced. Which of the
following nursing actions should be performed right away? -
ANSWER//Perform Right Away -Aspirate gastrointestinal contents
and measure pH -Remove displaced nasogastric tube and insert
and verify placement of new tube -Obtain order for chest x-ray to
rule out aspiration Not Immediately Necessary -Obtain order for
complete blood count -Administer O2 at 10L nasal cannula -
Remove displaced tube and do not replace NG Insertion 04/01/x
1425: Insertion: Client abdominal assess. and respiratory assess.
WNL. NG tube inserted on client. Discussed with client they
verbalized understanding. 12 Fr NG tube inserted with no
complications. Secured with securement device. Placement
confirmed by x-ray. 10 mL of dark green gastric aspirate obtained
and pH was noted to be 4.0. Oral care completed after insertion. -
Nursing Skill: Nasogastric Tube
Insertion and Removal Exam
Complete Questions And Correct
Detailed Answers (Verified Answers)
|Already Graded A+||Brand New
Version!!
assessment findings. Drag the assessment findings that require
further follow-up prior to this skill being performed to the box on
the right. - ANSWER//Assessment findings that require further
follow-up -Frequent nosebleeds -Motorcycle crash with facial
trauma -Client has been on anticoagulants for 1 year Case Study:
Nasogastric Tube Insertion You are the nurse preparing to insert a
nasogastric (NG) tube on your client who has been diagnosed with
an upper gastrointestinal (GI) bleed. Analyzing Cues Upon
assessment, you noted the following cues. Match each cue with the
associated potential risk. - ANSWER//-Client appears confused:
Risk for difficult insertion of nasogastric tube -Client has
continuous cough: Risk for insertion into tracheobronchial tree -
Client had nasal-facial surgery 5 years ago: Risk of intracranial
tube passage and neurological injury -Client is picking at tape on
hand: Risk for inadvertent extubation and/or dislodgement of tube
Case Study: Nasogastric Tube Insertion You are the nurse preparing
to insert a nasogastric (NG) tube on your client who has been
diagnosed with an upper gastrointestinal (GI) bleed. Prioritizing
Hypotheses After inserting the client's nasogastric tube and
confirming its placement via x-ray, you have completed your
scheduled assessment. Upon abdominal assessment, you note that
, the client's abdomen is distended, and the client is complaining of
abdominal pain 4/10. When you perform a respiratory system
assessment, you note dyspnea, cyanosis, a decrease in O2
saturation to 93%, and hear bilateral wheezes. Which one of the
potential issues is most likely to contribute to this? -
ANSWER//The nasogastric tube has been dislodged and may be in
the respiratory tract. Case Study: Nasogastric Tube Insertion You
are the nurse preparing to insert a nasogastric (NG) tube on your
client who has been diagnosed with an upper gastrointestinal (GI)
bleed. Generating Solutions The client's NG tube was removed. The
client continues to have decreased oxygen saturation and bilateral
wheezes. In addition, the client has now developed a fever. From
the list below, choose whether the potential interventions are
indicated or contraindicated for this client. - ANSWER//Indicated
-Notify the provider of the client assessment -Request chest x-ray
-Prepare to suction client Contraindicated -Position client flat Case
Study: Nasogastric Tube Insertion Taking Action Your client is on a
continuous enteral feeding tube and appears confused. You suspect
their nasogastric (NG) tube has been displaced. Which of the
following nursing actions should be performed right away? -
ANSWER//Perform Right Away -Aspirate gastrointestinal contents
and measure pH -Remove displaced nasogastric tube and insert
and verify placement of new tube -Obtain order for chest x-ray to
rule out aspiration Not Immediately Necessary -Obtain order for
complete blood count -Administer O2 at 10L nasal cannula -
Remove displaced tube and do not replace NG Insertion 04/01/x
1425: Insertion: Client abdominal assess. and respiratory assess.
WNL. NG tube inserted on client. Discussed with client they
verbalized understanding. 12 Fr NG tube inserted with no
complications. Secured with securement device. Placement
confirmed by x-ray. 10 mL of dark green gastric aspirate obtained
and pH was noted to be 4.0. Oral care completed after insertion. -
