Skill 42-6: Inserting Large-Bore Nasogastric Tube Quiz

Play an AI-generated podcast conversation about this lesson

When should the next output assessment for NG losses be completed?

Before and after medication administration (correct)
Before and after intermittent feeds
As per agency policy
Irrigation of a Nasogastric Tube

Which intervention should be taken based on the given assessment findings?

Administer enteral feedings via Nasogastric Tube
Decrease the frequency of output assessment for NG losses
Withhold suctioning for at least 30 minutes after medication administration (correct)
Increase the frequency of medication via Nasogastric Tube

What does NS with KCl 20meq/L IV replace in the given scenario?

Rehydration through NG tube
Oral rehydration solution
Losses 1:1 q6h with NS (correct)
Blood transfusion

What does the level of aspirate at 1,000 mL indicate?

Potential nasogastric tube displacement (B) Signup and view all the answers

What is the purpose of suctioning should be withheld for at least 30 minutes after medication administration?

To prevent aspiration pneumonia (D) Signup and view all the answers

What time was the last assessment of output conducted?

1400 (A) Signup and view all the answers

What does the corresponding 1400 marker on the cannister being at the 650 mL mark represent?

Low intake of enteral fluids (D) Signup and view all the answers

What is the significance of replacing losses 1:1 q6h with NS with KCl 20meq/L IV?

To reduce electrolyte imbalances (D) Signup and view all the answers

Why is it important to assess NG losses before and after medication administration?

To ensure accurate measurement of NG losses (D) Signup and view all the answers

What is the purpose of irrigating a Nasogastric Tube?

To prevent clogging or obstruction of the tube (C) Signup and view all the answers

When should suctioning be withheld after medication administration via Nasogastric Tube?

30 minutes (D) Signup and view all the answers

What is the purpose of inserting a large-bore nasoenteric or orogastric tube for gastric suctioning?

To drain the stomach and relieve blockage of the intestinal tract (D) Signup and view all the answers

What should be done if resistance is met during the insertion of the tube?

Stop the procedure and notify the prescriber (D) Signup and view all the answers

How is the placement of the tube confirmed?

By observing the color of aspirate and measuring its pH (B) Signup and view all the answers

What should be done before each medication or enteral feed administration?

Verify the placement of the tube (A) Signup and view all the answers

When should X-ray confirmation of tube position be obtained?

Before medications or enteral feedings are given through the tube (C) Signup and view all the answers

What is the recommended method to confirm placement of the tube?

Observing color of aspirate and measuring its pH (B) Signup and view all the answers

What is the purpose of obtaining X-ray confirmation of tube position?

To confirm that the tube is properly placed in the stomach (C) Signup and view all the answers

What is required for confirming placement according to Procedural Guideline Box 42-16?

Flush tube with 30mL of air and obtain 5-10 mL of gastric aspirate (B) Signup and view all the answers

What should be done if resistance is met during the insertion of the tube?

Stop inserting and notify prescriber if resistance persists after reattempting insertion (C) Signup and view all the answers

What will you administer in total for electrolyte replacement over 6 hours based on Doctor’s order?

1,000 mL (D) Signup and view all the answers

To what will you set the rate of replacement in mL/hr for electrolyte replacement based on Doctor’s order?

200 mL/hr (D) Signup and view all the answers

What should be done before each medication or enteral feed administration?

Verify placement of the tube (D) Signup and view all the answers

What is the primary purpose of a nasogastric tube?

To relieve and prevent abdominal distension by removing substances from the GI tract (C) Signup and view all the answers

When would a small-bore nasogastric tube with an insertion stylet be preferred?

For nutrition therapy longer than 4 weeks (D) Signup and view all the answers

What does the compression function of a nasogastric tube involve?

Using an inflated balloon to prevent internal esophageal or GI hemorrhage (D) Signup and view all the answers

In what cases is lavage performed using a nasogastric tube?

In cases of active bleeding or poisoning (A) Signup and view all the answers

What is the preferred type of tube for nutrition therapy longer than 4 weeks?

Surgically placed tube (B) Signup and view all the answers

What is the purpose of a large-bore nasogastric tube?

To decompress by removing substances from the GI tract (A) Signup and view all the answers

When would a small-bore nasogastric tube with an insertion stylet be used?

For short-term feeding (B) Signup and view all the answers

NG Loss Assessment Timing

Before and after giving medication.

Post-Medication Suctioning

Hold off on suctioning for at least 30 minutes to prevent aspiration.