Brunner: Medical-Surgical Nursing, 11th Edition Test Bank Chapter 36: Gastrointestinal Intubation and Special Nutritional Modalities Multiple Choice 1. How should the nurse determine the correct length of a nasogastric tube for placement into the stomach?

Brunner: Medical-Surgical Nursing, 11th Edition Test Bank Chapter 36: Gastrointestinal Intubation and Special Nutritional Modalities Multiple Choice 1. How should the nurse determine the correct length of a nasogastric tube for placement into the stomach? A) Place the distal tip to the nose, then the ear tip and the end of the xyphoid process. B) Instruct the patient to lie prone and measure tip of nose to umbilical area. C) Insert the tube into nose until the tube fills with secretions. D) Obtain an order from the physician for the number of inches to insert the tube. Ans: A Chapter: 36 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing Process Objective: 2 Patient Needs: D-1 Feedback: To insert the nasal gastric tube, the patient should be in a neutral position. The tube is measured by placing the distal tip to the nose, to the ear tip, and the end of the xyphoid process, adding 6 inches. 2. How can the nurse prevent reflux gastric contents through the blue vent of a gastric sump tube? A) Prime the tubing with 20 mL of normal saline. B) Keep the vent lumen above the patient's waist. C) Maintain the patient in a high-Fowler's position. D) Have the patient pin the tube to the thigh. Ans: B Chapter: 36 Cognitive Level: Application Difficulty: Moderate S - The Marketplace to Buy and Sell your Study Material Downloaded by: GreatStudySolutions | Distribution of this document is illegal S - The Marketplace to Buy and Sell your Study Material Integrated Process: Nursing Process Objective: 2 Patient Needs: D-3 Feedback: To prevent reflux of gastric contents through the vent lumen, the vent lumen is kept above the patient's waist. 3. Which of the following should be included in the nursing management of a nasogastric tube? A) Confirm the placement of the nasogastric tube prior to medication administration. B) Have the patient sip cool water to stimulate saliva production. C) Keep the patient in a low-Fowler's position. D) Connect the tube to continuous wall suction. Ans: A Chapter: 36 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing Process Objective: 2 Patient Needs: D-3 Feedback: Nursing management of the nasogastric tube includes checking placement of the tube when using it for administration of medication. If the NG tube is used for decompression, it is attached to intermittent low suction. Patients with a nasogastric tube should be maintained on an NPO status. During the placement of a nasogastric tube, the patient should be positioned in a Fowler's position. 4. The nurse is caring for a patient who has had a nasogastric tube in place for 2 days. The tube is draining green aspirate. What does this color of aspirate indicate? A) The tube is in the pleural space. B) The tube is in the intestine. C) The tube is in the stomach. D) The tube is in the esophagus.