The nurse suspects that a patient who underwent esophageal surgery has a misplaced jejunostomy feeding tube. Which action would the nurse take?
Reinsert the tube
Reposition the tube
Document the findings and administer prescribed feedings
Notify the healthcare provider immediately
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Epigastric-area pain that intensifies when lying down is more commonly associated with conditions like gastroesophageal reflux disease (GERD) or pancreatitis, rather than cholecystitis.
Choice B reason: Right upper-quadrant pain radiating to the shoulder and scapula is a classic symptom of cholecystitis. This pain is due to inflammation of the gallbladder, often aggravated by fatty meals, and may radiate to the back and shoulder.
Choice C reason: Right lower-quadrant pain with rebound tenderness is typically associated with appendicitis rather than cholecystitis. Cholecystitis primarily affects the right upper quadrant.
Choice D reason: Left-flank pain with intermittent exacerbations is not characteristic of cholecystitis. It might indicate conditions related to the left kidney or other left-sided abdominal issues.
Correct Answer is A
Explanation
Choice A reason: The mouth serves as the portal of entry for hepatitis A when the virus is ingested through contaminated food or water. The portal of entry is the site through which the pathogen enters the body to initiate infection. In this case, consuming contaminated food allows the hepatitis A virus to enter the body through the mouth, leading to infection.
Choice B reason: The infectious agent is the pathogen responsible for causing the disease. In this scenario, the hepatitis A virus is the infectious agent. However, the question asks about the portal of entry, which is the mouth, not the infectious agent itself.
Choice C reason: A susceptible host is an individual who is vulnerable to infection due to factors like a weakened immune system or lack of prior immunity. While the client in the question is a susceptible host, the specific answer to the question is about the portal of entry, which is the mouth.
Choice D reason: The reservoir is the natural habitat or environment in which the pathogen lives and multiplies. For hepatitis A, common reservoirs include contaminated food and water. The reservoir is not the focus of this question; rather, it is asking about the portal of entry, which is the mouth.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.