A nurse is caring for a client who has a nasogastric (NG) tube in place for gastric decompression and notes that the tube is not draining. Which of the following steps should the nurse take first?
Reposition the NG tube.
Inject 20 mL of air and aspirate in the NG tube.
Instill an irrigation solution slowly.
Check the functioning of the suction equipment.
The Correct Answer is D
Choice A reason: Repositioning the NG tube is a later step; checking suction function is first, as equipment failure is a common cause of no drainage. Assuming repositioning is initial risks delaying simple fixes, potentially prolonging discomfort, critical to avoid in ensuring effective gastric decompression.
Choice B reason: Injecting air and aspirating is a troubleshooting step but follows checking suction equipment, which may resolve no drainage. Assuming air injection is first risks unnecessary intervention, potentially causing discomfort, critical to prevent in ensuring efficient NG tube management for gastric decompression.
Choice C reason: Instilling irrigation solution is a later step after confirming suction function, as equipment issues are more common. Assuming irrigation is first risks clogging or discomfort, critical to avoid in ensuring proper NG tube function and effective gastric decompression in clients with non-draining tubes.
Choice D reason: Checking suction equipment function is the first step for a non-draining NG tube, as equipment failure is a common issue, easily corrected. This ensures effective decompression, critical for preventing gastric distention, supporting client comfort, and guiding further troubleshooting in managing NG tube care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A mobile 24 inches above the crib is too high for a 1-week-old’s vision (8-12 inches is ideal), indicating misunderstanding. A ticking clock is soothing. Assuming mobile placement is correct risks reduced stimulation, critical to avoid in supporting infant development and parental education.
Choice B reason: Propping a bottle with a pillow risks choking or aspiration in a 1-week-old; holding is required. A ticking clock is correct. Assuming propping is safe risks infant safety, critical to prevent in ensuring proper feeding practices and parental education for newborns.
Choice C reason: Avoiding frequent holding risks neglecting bonding and comfort needs in a 1-week-old; responsive care is essential. A ticking clock is soothing. Assuming avoidance is correct risks developmental issues, critical to avoid in supporting infant emotional health and parental caregiving education.
Choice D reason: Placing a ticking clock nearby mimics womb sounds, soothing a 1-week-old, promoting sleep and comfort. This understanding is critical for infant well-being, supporting parental caregiving, ensuring a calming environment, and fostering healthy development in the early newborn period at home.
Correct Answer is A
Explanation
Choice A reason: Unleavened bread (matzah) is required during Passover in Orthodox Judaism, as leavened products are prohibited. Providing it respects dietary laws, critical for cultural sensitivity, ensuring nutritional needs, and supporting client comfort, aligning with patient-centered care principles during religious observances in healthcare settings.
Choice B reason: Chicken with cream sauce is prohibited during Passover, as Orthodox Jews avoid mixing meat and dairy (kosher laws). Unleavened bread is appropriate. Serving this risks dietary violation, causing distress, critical to avoid in ensuring culturally sensitive care for clients observing Passover in healthcare settings.
Choice C reason: Fish with fins and scales is kosher and permitted during Passover, not to be avoided. Unleavened bread aligns with Passover rules. Assuming fish avoidance risks unnecessary restriction, potentially affecting nutrition, critical to prevent in supporting dietary adherence for Orthodox Jewish clients during Passover.
Choice D reason: Lamb is permitted during Passover if kosher, not universally avoided. Unleavened bread is a dietary staple. Assuming lamb avoidance risks misaligned care, potentially causing nutritional or cultural issues, critical to avoid in ensuring respectful, adherent care for Orthodox Jewish clients observing Passover.
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