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 D

Explanation

Choice A reason: Nausea is not a common symptom directly associated with obstructive sleep apnea (OSA).

Choice B reason: Hypotension is not typically a finding in OSA. In fact, OSA can be associated with hypertension due to the effects of recurrent oxygen desaturations and sympathetic nervous system activation.

Choice C reason: Constipation is not a symptom commonly linked to OSA. OSA primarily affects respiratory function
during sleep.

Choice D reason: Morning headaches are a common symptom in individuals with OSA due to disrupted sleep patterns and decreased oxygen levels during apneic episodes.

A. Magnesium-containing antacids B. Antibiotics C. Anticholinergics/antispasmodics D. Opioid narcotics

Correct Answer is D

Explanation

Choice A reason: Magnesium-containing antacids typically cause diarrhea rather than constipation due to magnesium's ability to draw water into the intestines.

Choice B reason: Antibiotics can affect gut flora and potentially cause diarrhea. While some antibiotics may lead to constipation, it is not as common as diarrhea.

Choice C reason: Anticholinergics/antispasmodics can cause constipation because they inhibit the muscle movements in the gastrointestinal tract necessary for bowel movements.

Choice D reason: Opioid narcotics are well-known to cause constipation as they reduce gastrointestinal motility, leading to slower transit times and increased water absorption from the stool.

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Nursing Test Bank

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