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.

Check the pH level of gastric contents.

Auscultate for air insufflation.

Request a chest x-ray.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Verifying the bilirubin level of the tube contents is not a standard or reliable method for checking the placement of a feeding tube. Bilirubin is a bile pigment found in the liver and bile ducts, and its levels are not indicative of tube placement in the gastrointestinal tract.

Choice B rationale

Checking the pH level of gastric contents can help determine if the tube is in the stomach, but it is not the most reliable method. Gastric pH is typically acidic (1.5-3.5), but the pH can vary, and this method does not rule out respiratory placement or other incorrect placements.

Choice C rationale

Auscultating for air insufflation involves listening for the sound of air injected through the tube into the stomach. However, this method is not reliable as it does not confirm the exact location of the tube and can give false positives if the tube is in the esophagus or respiratory tract.

Choice D rationale

Requesting a chest x-ray is the most reliable method for verifying feeding tube placement. It provides a clear visual confirmation of the tube's location, ensuring it is correctly positioned in the stomach or small intestine and not in the respiratory tract or other incorrect locations.

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Correct Answer is ["A","B","D"]

Explanation

Choice A rationale: The client’s respiratory rate of 10/min is below the normal range (12-20 breaths per minute). This suggests respiratory depression, which can be caused by opioid medications like morphine.

Choice B rationale: The client’s pulse oximetry reading of 88% on room air is lower than the normal range (95%-100%). This indicates hypoxemia, which may be due to respiratory depression from the morphine.

Choice C rationale: Although the blood pressure of 99/46 mm Hg is low, it might be acceptable for this client postoperatively. However, it does not require immediate intervention compared to the other choices.

Choice D rationale: The administration of morphine 10 mg subcutaneously needs further action because the client is showing signs of opioid overdose (e.g., respiratory depression, hypoxemia). This necessitates reassessment and potential adjustment of the medication dosage or frequency.

A. Choose foods high in fiber and low in fat. B. Include a variety of fruits and vegetables. C. Drink plenty of water throughout the day. D. Limit the intake of sugary and processed foods.

Correct Answer is A

Explanation

Choice A rationale

Choosing foods high in fiber and low in fat is beneficial for maintaining a healthy diet. High-fiber foods help improve digestion, regulate blood sugar levels, and reduce the risk of heart disease, while low-fat foods help control calorie intake and support weight management.

Choice B rationale

Including a variety of fruits and vegetables is crucial for a balanced diet as they provide essential vitamins, minerals, and antioxidants. However, it does not address the need to limit fat intake, which is also important for overall health.

Choice C rationale

Drinking plenty of water throughout the day is vital for staying hydrated and supporting bodily functions. Nevertheless, it does not directly impact the intake of fiber and fat, which are key components of a healthy diet.

Choice D rationale

Limiting the intake of sugary and processed foods is important for reducing the risk of various health issues such as obesity, diabetes, and heart disease. However, it does not emphasize the importance of high fiber and low-fat foods, which are essential for a healthy diet. o

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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

Correct Answer is ["A","B","D"]

Explanation

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Correct Answer is A

Explanation

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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?