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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) "His partner has been visiting." - While social support is important, this information is not essential for the receiving unit's immediate care planning.
B) "He is voiding adequately." - While relevant to the client's overall condition, this information may not be a priority for the receiving unit unless there are specific urinary concerns.
C) "He is allergic to sulfa." - Allergy information is critical for ensuring safe medication administration and should be included in the transfer report.
D) "He appears anxious about the transfer." - While the client's emotional state is important, it may not be the most pertinent information for the receiving unit's immediate care planning.
Correct Answer is C
Explanation
A. Occupational therapist- While an occupational therapist may play a role in the client's care, their expertise may not be directly related to addressing concerns about BMI and diet.
B. Pharmacist- The pharmacist's expertise may be valuable in medication management but is not specifically focused on addressing concerns related to BMI and diet.
C. Dietician- A dietician is specialized in nutrition and can provide valuable guidance and interventions for clients with concerns about BMI and dietary habits.
D. Spiritual support personnel- Spiritual support personnel may provide emotional and spiritual support but may not have the expertise needed to address concerns related to BMI and diet.
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