NURS 3370 TEST 2 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

NURS 3370 TEST 2 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED what tube is needed if a patient has extreme facial trauma? jejunostomy tube how do you measure the length of an NG tube needed? NEX- nose to earlobe to xyphoid process what do you do if you have a high residual? have to decide whether or not to feed the patient flushing a tube after food or med sterile water for immunocompromised patients, otherwise tap water, if patient has SIADH then sterile saline because they have sodium deficiency lubricant for the tube water based, lidocaine, NOTHING OIL BASED MOST RELIABLE WAY TO SEE IF PLACEMENT IS CORRECT X RAY when you aspirate contents it can tell you pH should be from 1-4 if you aspirate gastric contents, if it is any higher like 6 then tube could be in lung blue pig tail to prevent undue pressure that could break down, relieves pressure (if you don't then ulcers, erosion, bleeding) best position for NG tube insertion HIGH FOWLERS what is the best position for insertion if pt is in a coma chin tuck where should the tube be on the x ray needs to be in line with esophagus and UNDER THE DIAPHRAGM if pt is in colectomy surgery and come out with nausea and vomiting with a tube DETERMINE IF TUBE IS IN CORRECT PLACEMENT, insert 30 cc of air and irrigate with sterile saline should release nausea if NG tube and have nausea and vomiting call provider bc you cannot manipulate tube due to order NG decompression allows the stomach to rest, gets rid of acid, relieves abdominal distention and bloating, relieves air, bowel obstruction, mainly used salem slump, also for endotracheal tube so can suck out whatever they ate before mechanically ventilated, can keep until bowel function returns (BOWEL SOUNDS ALL 4 QUADRANTS) where does the blue pigtail need to be kept AT SHOULDER LEVEL, or else will leak why is it a conservative way to treat an ileus? keeps pt from going into surgery levin tube is not used for decompression if pt is depressed and not eating gastrostomy is permanent or for years, but Dobhoff might be easier dubhoff tube (syringe used) don't use small syringe bc can burst tube, use 60 cc no mater what you are giving what tube is used to decrease risk for aspiration and for something more permanent? gastrostomy, surgical procedure if you don't flush before or after tube can clog, need to dilute elixirs to reduce gastric breakdown (high osmolarity can cause ulcers) what can be used to de-clog? meat tenderizer if pt has head or neck surgery or radiation usually will get gastrostomy, depending on surgery may never eat or drink again aspiration with gastrostomy IS A RISK how does a jejunostomy have to be placed SUTURED, no other way to keep it there what conditions is jejunostomy good for? lung transplants or other really big procedure bc will absorb a lot of nutrients, good for facial trauma bc want to get as far away from mouth as possible, for people having a hard time gaining weight levin tube