A nurse is teaching a client who is preoperative for a colectomy. The client asks the nurse why he needs a large-bore NG tube. Which of the following statements should the nurse make?
The tube is a routine standard following this type of surgery.
The tube will allow us to provide you with nutrition.
The tube can be explained to you once you are stable after surgery.
The tube will remove gas and fluid from your stomach.
The Correct Answer is D
Choice A reason: The statement that the tube is a routine standard following this type of surgery is too vague and does not provide the client with specific information about the purpose of the NG tube. Providing clear and specific reasons for medical interventions helps improve client understanding and comfort.
Choice B reason: While NG tubes can be used for nutritional support, this is not typically their primary purpose in the immediate postoperative period for colectomy patients. The main purpose is usually decompression, not nutrition.
Choice C reason: Telling the client that the tube can be explained once they are stable after surgery does not adequately address the client's need for information before the procedure. It is essential to provide clear and accurate information beforehand to reduce anxiety and promote informed consent.
Choice D reason: This is the correct answer because it clearly explains the primary purpose of a large-bore NG tube after a colectomy, which is to remove gas and fluid from the stomach to prevent distension and complications such as nausea, vomiting, and aspiration.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Increased glomerular filtration rate (GFR) would indicate improved kidney function, which is not expected in the oliguric phase of acute kidney injury. Instead, GFR is typically reduced during this phase.
Choice B reason: Decreased creatinine level suggests better kidney function and is not consistent with acute kidney injury, where creatinine levels are usually elevated due to impaired filtration.
Choice C reason: Hypomagnesemia, or low magnesium levels, is not a typical finding in acute kidney injury. Electrolyte imbalances more commonly include elevated levels of potassium and phosphorus.
Choice D reason: Hyperkalemia, or elevated potassium levels, is a common finding in the oliguric phase of acute kidney injury due to the kidneys' inability to excrete potassium effectively. This can lead to serious complications such as cardiac arrhythmias.
Correct Answer is D
Explanation
Choice A reason: Reinserting the tube without confirming its correct placement can cause harm or lead to complications. It is not the nurse's role to reinsert the tube without proper verification.
Choice B reason: Repositioning the tube without verifying its placement could also cause harm. Ensuring correct placement should be done before any attempts to reposition the tube.
Choice C reason: Documenting the findings and administering feedings without confirming the tube's correct placement can result in serious complications, such as feeding into the wrong location.
Choice D reason: Notifying the healthcare provider immediately is the appropriate action. The provider can order verification of tube placement, such as through an X-ray, to ensure it is correctly positioned before any feedings are administered.
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