A patient's NG tube has become clogged after the nurse instilled a medication that was insufficiently crushed. The nurse has attempted to aspirate with a large-bore syringe, with no success. What should the nurse do next?

Remove the NG tube promptly and obtain an order for reinsertion from the primary care provider.

Attach a syringe filled with warm water and attempt an in-and-out motion of instilling and aspirating.

Withdraw the NG tube slightly and attempt to dislodge by flicking the tube with the fingers.

Withdraw the NG tube 3 to 5 cm and reattempt aspiration.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Removing the NG tube without further attempts to unclog it may not be necessary and could be an unnecessary intervention.

Choice B reason:

This statement is correct. Attempting to unclog the NG tube with warm water and an in-and-out motion is an appropriate next step.

Choice C reason:

Flicking the tube with the fingers may not be effective in dislodging the clog, and it could potentially cause harm to the patient.

Choice D reason:

Withdrawing the tube 3 to 5 cm may not effectively address the clog and could potentially lead to complications.

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Correct Answer is D

Explanation

Choice A reason:

While diarrhea can be a symptom of peptic ulcer disease, it is not typically considered a priority over more severe symptoms.

Choice B reason:

Dyspepsia (indigestion) is a common symptom of peptic ulcer disease, but it is not the priority over more concerning symptoms.

Choice C reason:

Epigastric discomfort is a symptom of peptic ulcer disease, but it is not the priority over more severe symptoms like hematemesis.

Choice D reason:

Hematemesis (vomiting blood) is a serious and potentially life-threatening symptom of peptic ulcer disease. It is the top priority for assessment and intervention.

Correct Answer is ["3.6"]

Explanation

To calculate the dose of Ceclor in mg, multiply the weight in kg by the dosage in mg/kg/day and divide by the number of doses per day.
To convert pounds to kg, divide by 2.2.
To calculate the volume of Ceclor in mL, divide the dose in mg by the concentration in mg/mL.
Convert 66 pounds to kg: 66 / 2.2 = 30 kg
Calculate the dose of Ceclor in mg: 30 x 45 / 3 = 450 mg
Calculate the volume of Ceclor in mL: 450 / 125 = 3.6 mL
The nurse would administer 3.6 mL per dose.

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A patient's NG tube has become clogged after the nurse instilled a medication that was insufficiently crushed. The nurse has attempted to aspirate with a large-bore syringe, with no success. What should the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

Correct Answer is D

Explanation

Give Ceclor 45mg/kg/day p.o. in 3 divided doses for a patient who weighs 66 pounds. A 75mL stock medication is labeled Ceclor 125mg/mL. How many mLs would the nurse administer per dose? Units in mL. (Please record your exact answer)

Correct Answer is ["3.6"]

Explanation

A patient's NG tube has become clogged after the nurse instilled a medication that was insufficiently crushed. The nurse has attempted to aspirate with a large-bore syringe, with no success. What should the nurse do next?

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