30 Questions
When should the next output assessment for NG losses be completed?
Before and after medication administration
Which intervention should be taken based on the given assessment findings?
Withhold suctioning for at least 30 minutes after medication administration
What does NS with KCl 20meq/L IV replace in the given scenario?
Losses 1:1 q6h with NS
What does the level of aspirate at 1,000 mL indicate?
Potential nasogastric tube displacement
What is the purpose of suctioning should be withheld for at least 30 minutes after medication administration?
To prevent aspiration pneumonia
What time was the last assessment of output conducted?
1400
What does the corresponding 1400 marker on the cannister being at the 650 mL mark represent?
Low intake of enteral fluids
What is the significance of replacing losses 1:1 q6h with NS with KCl 20meq/L IV?
To reduce electrolyte imbalances
Why is it important to assess NG losses before and after medication administration?
To ensure accurate measurement of NG losses
What is the purpose of irrigating a Nasogastric Tube?
To prevent clogging or obstruction of the tube
When should suctioning be withheld after medication administration via Nasogastric Tube?
30 minutes
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
What should be done if resistance is met during the insertion of the tube?
Stop the procedure and notify the prescriber
How is the placement of the tube confirmed?
By observing the color of aspirate and measuring its pH
What should be done before each medication or enteral feed administration?
Verify the placement of the tube
When should X-ray confirmation of tube position be obtained?
Before medications or enteral feedings are given through the tube
What is the recommended method to confirm placement of the tube?
Observing color of aspirate and measuring its pH
What is the purpose of obtaining X-ray confirmation of tube position?
To confirm that the tube is properly placed in the stomach
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
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
What will you administer in total for electrolyte replacement over 6 hours based on Doctor’s order?
1,000 mL
To what will you set the rate of replacement in mL/hr for electrolyte replacement based on Doctor’s order?
200 mL/hr
What should be done before each medication or enteral feed administration?
Verify placement of the tube
What is the primary purpose of a nasogastric tube?
To relieve and prevent abdominal distension by removing substances from the GI tract
When would a small-bore nasogastric tube with an insertion stylet be preferred?
For nutrition therapy longer than 4 weeks
What does the compression function of a nasogastric tube involve?
Using an inflated balloon to prevent internal esophageal or GI hemorrhage
In what cases is lavage performed using a nasogastric tube?
In cases of active bleeding or poisoning
What is the preferred type of tube for nutrition therapy longer than 4 weeks?
Surgically placed tube
What is the purpose of a large-bore nasogastric tube?
To decompress by removing substances from the GI tract
When would a small-bore nasogastric tube with an insertion stylet be used?
For short-term feeding
Test your knowledge on inserting a large-bore nasogastric or orogastric tube for gastric suctioning, providing suction, obtaining gastrointestinal aspirate for pH measurement, and administering enteral feedings via nasoenteric tube. This quiz covers the skills and procedural guidelines for managing nasogastric tubes.
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