Skill 42-6: Inserting Large-Bore Nasogastric Tube Quiz
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Questions and Answers

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?

    <p>Potential nasogastric tube displacement</p> Signup and view all the answers

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

    <p>To prevent aspiration pneumonia</p> Signup and view all the answers

    What time was the last assessment of output conducted?

    <p>1400</p> Signup and view all the answers

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

    <p>Low intake of enteral fluids</p> Signup and view all the answers

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

    <p>To reduce electrolyte imbalances</p> Signup and view all the answers

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

    <p>To ensure accurate measurement of NG losses</p> Signup and view all the answers

    What is the purpose of irrigating a Nasogastric Tube?

    <p>To prevent clogging or obstruction of the tube</p> Signup and view all the answers

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

    <p>30 minutes</p> Signup and view all the answers

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

    <p>To drain the stomach and relieve blockage of the intestinal tract</p> Signup and view all the answers

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

    <p>Stop the procedure and notify the prescriber</p> Signup and view all the answers

    How is the placement of the tube confirmed?

    <p>By observing the color of aspirate and measuring its pH</p> Signup and view all the answers

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

    <p>Verify the placement of the tube</p> Signup and view all the answers

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

    <p>Before medications or enteral feedings are given through the tube</p> Signup and view all the answers

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

    <p>Observing color of aspirate and measuring its pH</p> Signup and view all the answers

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

    <p>To confirm that the tube is properly placed in the stomach</p> Signup and view all the answers

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

    <p>Flush tube with 30mL of air and obtain 5-10 mL of gastric aspirate</p> Signup and view all the answers

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

    <p>Stop inserting and notify prescriber if resistance persists after reattempting insertion</p> Signup and view all the answers

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

    <p>1,000 mL</p> 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?

    <p>200 mL/hr</p> Signup and view all the answers

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

    <p>Verify placement of the tube</p> Signup and view all the answers

    What is the primary purpose of a nasogastric tube?

    <p>To relieve and prevent abdominal distension by removing substances from the GI tract</p> Signup and view all the answers

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

    <p>For nutrition therapy longer than 4 weeks</p> Signup and view all the answers

    What does the compression function of a nasogastric tube involve?

    <p>Using an inflated balloon to prevent internal esophageal or GI hemorrhage</p> Signup and view all the answers

    In what cases is lavage performed using a nasogastric tube?

    <p>In cases of active bleeding or poisoning</p> Signup and view all the answers

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

    <p>Surgically placed tube</p> Signup and view all the answers

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

    <p>To decompress by removing substances from the GI tract</p> Signup and view all the answers

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

    <p>For short-term feeding</p> Signup and view all the answers

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