A nurse is checking for proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?

Verify the bilirubin level of the tube contents.

Auscultate for air insufflation.

Request a chest x-ray.

Check the pH level of gastric contents.

Answer and Explanation

The Correct Answer is C

A.   Verifying the bilirubin level of the tube contents is not a reliable method for confirming tube placement and may not provide accurate information.
B.   Auscultating for air insufflation can help detect tube placement in the respiratory tract but may not reliably confirm placement in the gastrointestinal tract.
C.   Requesting a chest x-ray is the most reliable method for confirming the placement of a feeding tube, as it allows visualization of the tube's position relative to anatomical landmarks.
D.   Checking the pH level of gastric contents can help differentiate between gastric and respiratory placement but may not provide definitive confirmation of tube placement.

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Correct Answer is C

Explanation

A) Add 0.5 mL of diluent to the medication. - This action is not appropriate for administering medication from an ampule since the diluent may alter the concentration and dosage of the medication.
B) Inject air into the ampule prior to drawing the medication into a syringe. - Injecting air into the ampule is unnecessary and may cause contamination.
C) Use a filter needle to aspirate the medication. - Filter needles can prevent glass particles from being drawn into the syringe when aspirating medication from an ampule.
D) Cleanse the tip of the ampule with an alcohol swab after opening. – This action is unnecessary and may contaminate the medication.

A. Drink citrus juice with meals. B. Train the bladder by voiding every 5 hr. C. Perform pelvic-muscle exercises. D. Apply adult diapers at bedtime.

Correct Answer is C

Explanation

A. Drink citrus juice with meals: Citrus juice may irritate the bladder and worsen urinary incontinence symptoms.
B. Train the bladder by voiding every 5 hr: Voiding on a schedule may help manage urinary incontinence, but the specific interval should be determined based on individual needs, not a fixed timeframe like every 5 hours.
C. Perform pelvic-muscle exercises: Pelvic floor muscle exercises, also known as Kegel exercises, can help strengthen the muscles that control urination, improving urinary continence.
D. Apply adult diapers at bedtime: While using protective garments may be necessary for managing urinary incontinence, it does not address the underlying issue or provide potential improvement.

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A nurse is checking for proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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