A nurse is contributing to the plan of care of a client who is postoperative following a gastrectomy and has a double-lumen nasogastric (NG) tube. Which of the following interventions should the nurse include in the plan?

Avoid replacing the NG tube if it is accidentally dislodged.

Irrigate the blue pigtail port with sterile saline.

Verify tube placement by injecting air into the larger lumen.

Avoid the nares when providing hygiene care.

Answer and Explanation

The Correct Answer is A

A. Avoid replacing the NG tube if it is accidentally dislodged: After a gastrectomy, improper placement or reinsertion of the NG tube can disrupt the surgical site, leading to complications such as bleeding, leakage, or perforation. If the tube is accidentally dislodged, the nurse should notify the surgeon or provider, as reinsertions in postoperative gastric surgery clients are typically performed under their direction.

B. Irrigate the blue pigtail port with sterile saline: The blue pigtail port (air vent) of a double-lumen NG tube (e.g., Salem sump) should not be irrigated with saline because it functions as an air vent to prevent suction from damaging the stomach lining.

C. Verify tube placement by injecting air into the larger lumen: Injecting air to verify NG tube placement is no longer considered a reliable or evidence-based practice. Placement should be verified by other methods, such as aspiration of gastric contents, pH testing, or radiographic confirmation, especially in postoperative clients.

D. Avoid the nares when providing hygiene care: Hygiene care for the nares is essential to prevent skin breakdown and discomfort in clients with an NG tube. Neglecting the nares could lead to excoriation, pressure injuries, or infection.

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Correct Answer is ["B"]

Explanation

A. "I will expect a warm feeling when the dye is injected."
This statement is incorrect. Barium swallow involves swallowing a contrast medium, not an injection. The warm feeling might be associated with injected substances but not with a barium swallow.

B. "I will drink plenty of fluids after the test."
This statement is correct. After a barium swallow, it's important to drink plenty of fluids to help clear the barium from the body and prevent constipation.

C. "I will maintain a clear liquid diet 24 hours before the test."
This statement is incorrect. A clear liquid diet might be recommended before certain medical procedures, but for a barium swallow, often patients are asked to avoid eating or drinking for a 8hours before the test.

D. "I will expect my stool to be black after this procedure."
Barium can cause stools to appear white or light-colored for several days after the procedure.Black stools could indicate the presence of gastrointestinal bleeding or other issues unrelated to the barium swallow.

A. "I will take the medication for diarrhea." B. "I will have soft stools 1 to 3 days after starting this medication." C. "I will drink one half glass of water when I take the medication." D. "I can take this medication with mineral oil."

Correct Answer is B

Explanation

A. "I will take the medication for diarrhea."
This statement is incorrect. Docusate sodium is not used to treat diarrhea; it is a stool softener used to relieve constipation.

B. "I will have soft stools 1 to 3 days after starting this medication."

This statement indicates that the client understands the purpose of docusate sodium, which is a stool softener used to prevent constipation and to soften stool. It typically takes 1 to 3 days for the medication to produce the desired effect of softer stools.

C. "I will drink one half glass of water when I take the medication."
This statement is partially correct. Taking docusate sodium with a full glass of water is recommended, not half a glass, to ensure that the medication is properly absorbed and to prevent throat irritation.

D. "I can take this medication with mineral oil."
This statement is incorrect. Docusate sodium should not be taken with mineral oil because it can increase the absorption of mineral oil, leading to systemic effects.

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A nurse is contributing to the plan of care of a client who is postoperative following a gastrectomy and has a double-lumen nasogastric (NG) tube. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching a client who is scheduled for a barium swallow to evaluate dysphagia. Which of the following statements Indicate to the nurse that the client understands the instructions?

Correct Answer is ["B"]

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for docusate sodium. The nurse should recognize which of the following statements Indicates the client understands the teaching?

Correct Answer is B

Explanation

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