A nurse is inserting an NG tube for a client. Which of the following actions should the nurse take?

Wear sterile gloves to insert the NG tube.

Ask the client to cough while inserting the NG tube.

Place the client into a left lateral position before inserting the NG tube.

Determine the length of the NG tube to be inserted prior to the procedure.

Answer and Explanation

The Correct Answer is D

Choice A reason: Sterile gloves are not required for inserting an NG tube; clean gloves are sufficient as the nasal
cavity is not a sterile environment.

Choice B reason: The client should not be asked to cough while inserting the NG tube as this could disrupt the placement process. Instead, the client may be asked to swallow to facilitate the passage of the tube.

Choice C reason: Placing the client into a left lateral position is not the standard position for NG tube insertion. The
client should be in an upright or semi-Fowler's position to aid in the insertion process.

Choice D reason: Determining the length of the NG tube to be inserted is a crucial step to ensure that the tube
reaches the stomach without coiling in the esophagus or extending into the small intestine.

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Correct Answer is A

Explanation

Choice A reason: Muscle weakness is a common symptom of hypokalemia, as potassium is crucial for muscle function and nerve signals that stimulate muscle contractions.

Choice B reason: Cerebral edema is not a typical manifestation of hypokalemia. It is more commonly associated with other conditions such as brain injury or disease.

Choice C reason: Hypertension is generally not a direct result of hypokalemia. In fact, low potassium levels can sometimes lead to lower blood pressure.

Choice D reason: Hyperactive bowel sounds are not specifically associated with hypokalemia. Diarrhea can cause fluid loss leading to hypokalemia, but the condition itself does not cause hyperactive bowel sounds.

A. Test the balloon on the indwelling urinary catheter before insertion. B. Use one cotton swab to clean the client's urinary meatus. C. Don sterile gloves before inserting the indwelling urinary catheter. D. Apply an oil-based lubricant to the indwelling urinary catheter.

Correct Answer is C

Explanation

Choice A reason: Testing the balloon is important, but it is not the action to take immediately before insertion.

Choice B reason: While cleaning the urinary meatus is necessary, using one cotton swab is not sufficient for proper aseptic technique.

Choice C reason: Donning sterile gloves is essential to maintain an aseptic technique during catheter insertion to prevent infection.

Choice D reason: An oil-based lubricant should not be used as it can increase the risk of infection and is not compatible with the catheter material; a water-soluble lubricant is recommended.

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A nurse is inserting an NG tube for a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?

Correct Answer is A

Explanation

A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

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