Question

9-The student nurse is aware that the position of the patient when giving nasogastric feeding is...

9-The student nurse is aware that the position of the patient when giving nasogastric feeding is at least 45 degrees or as near normal position to: Select one:
a. Prevent flexion of the neck.
b. Facilitate entry of food thru gravity.
c. Make patient comfortable.
d. Prevent aspiration.

10-What is the best position of the patient when inserting a nasogastric tube? Select one:
a. high Fowler's position for optimal neck/ stomach alignment.
b. 10- 15 degrees if unable to maintain an upright position.
c. prone position if unable to do the upright position d. Left sim's position.

11-Which of the following is the correct technique in blood extraction? Select one:
a. when using vacutainer, the long end of the needle is used to puncture the blood tube and the short end enters the vein.
b. advance the needle into the vein while collecting blood.
C. syringe needle or vacutainer at 5 15 degrees angle from the skin with the bevel up.
d. hold the syringe and gently pull back on the syringe plunger and look for blood return.

12-The patient asks the student nurse why topical analgesic to nostril & oropharynx (preferably 2% Xylocaine) is applied before inserting the nasogastric tube. Which of the following is the best response of the student nurse? Select one:
a. to decrease patient anxiety.
b. To allow swallowing of small sips of water.
C. To numb the area to depress the gag reflex.
d. For smoother insertion of the nasogastric tube.

13-Which of the following is the best site in obtaining blood samples when monitoring blood glucose using a glucometer? Select one:
a. preference site of the nurse and patient.
b. central tip of the finger.
c. any site of the finger.
d. the lateral side of the finger.

14-Which of the following is the correct technique in verifying the placement of a gastrostomy tube? Select one:
a. Attach syringe in the gastrostomy tube and auscultate for gurgling sound.
b. Attach syringe and aspirate 5 to 10 mL of gastric secretions; observe their appearance and check pH.
c. Draw up 10 to 30 mL of air into the syringe. Connect to the end of the feeding tube. Flush tube with air. Pull back slowly to aspirate the total amount of gastric contents.
d. Aspirate intestinal secretions, observe their appearance and check pH.

15-The patient asks the student nurse, "why should I need to hold my breath before removing the nasogastric tube?". How does the student nurse respond to the question of the patient? Select one:
a. This technique will prevent the back flow of gastric content.
b. This technique will facilitate easier removal of the.
C. This technique will help to maintain asepsis.
d. This technique prevents spread to bacteria.

16-How many ml of blood will you extract if the patient is for blood culture? Select one:
a. 5 to 10 ml of venous blood by venipuncture from each venipuncture site.
b. 10 to 15 ml of venous blood by venipuncture from each venipuncture site.
C. 20 to 25 ml of venous blood by venipuncture from each venipuncture site.
d. 15 to 20 ml of venous blood by venipuncture from each venipuncture site.

17-When are you going to hold the nasogastric tube feeding of the patient? Select one.
a. If the amount of residual does not exceed the policy of the agency.
b. If no gastric residual.
c. When the patient requested it.
d. If the gastric residual is more than 30 cc.

18-Which of the following is the correct procedure in inserting a nasogastric tube?
1. Measure distance to insert the tube by placing the tip of the tube at the patient's nostril & extending to the tip of earlobe & then to the tip of the xiphoid process
2. Instruct patient to flex his chin towards his chest
3. Encourage him or her to sip water through a straw or to swallow even if no fluids are permitted
4. Lubricate the tip of tube (at least 1-2 inches of the tube) with water-soluble lubricant
5. Apply topical analgesic to nostril & oropharynx (preferably 2% Xylocaine) or ask the patient to hold ice chips in his or her mouth for several minutes
6. Advance tube in a downward- &- backward direction when the patient swallows determine that the tube is in the patient's stomach Select one:
a. 1,4, 5, 2. 3, 6, 7 .
b. 1, 4, 2, 3. 5, 6, 7 .
c. 1.4, 5, 6. 2, 3, 7 .
d. 1. 4.3.2, 6. 5, 7.

19-Which of the following is a correct step in collecting blood for glucose monitoring using a glucometer?
1. Remove the cap from the lancet device and insert a new lancet.
2. Twist off the protective disk on the tip of the lancet. Replace the cap of the lancet device.
3. * the lancet device, adjusting the proper puncture depth.
4. Wipe finger or forearm lightly with an alcohol swab. Choose a vascular area for puncture site 5. Hold the tip of the lancet device against the area of skin chosen for a test site. Press the release button on the device.
6. Bring the test strip in the meter to the drop of blood. The blood will be wicked onto the test strip.
7.Read the glucose test result that will appear on the screen .
Select one:
a. 3, 4. 5. 1. 2, 6, 7
b. 2, 3, 1.4 5 6. 7
c.1, 2, 3.4. 5. 6, 7
d. 4, 1, 2, 3. 5 6, 7

Homework Answers

Answer #1

9) d) Prevention aspiration.If we keep patient in 45 degree or upright position while feeding to avoid regurgitation.This option more suit aswellas priorty when compared with other option

10) a) High fowlers position for optimal neck and stomach alignment.This is the suitable postion for NG tube feeding to prevent aspirstion .The other position are contraindicted to the patient while inserting the tube.

11) d)Hold the syringe and gntally pull back on the syringe plunger and look for blood return.The postion of needle 15 to 30 degree.

12)c) To numb the area to deopress gaga reflex..Topical analgesic he[ps to reduce the pain associated with NG tube insertion also depress the gag sensation.Option A and B are incorrect these analgesic not help to drecease anxiety.Compared with option C option D is the second priority.

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