NSG 326 - SLC2 Questions Correctly Answered.

NSG 326 - SLC2 Questions Correctly Answered. What would the nurse do if he or she were not able to insert a nasogastric tube in either of a patient's nares? - CORRECT ANSWER Notify the physician that the attempts were unsuccessful. The nurse would notify the physician because he or she will need to attempt to insert the tube or determine another treatment option What would the nurse do if he or she encountered resistance when inserting a nasogastric tube? - CORRECT ANSWER Withdraw the tube to the nasopharynx. If the patient starts to cough, experiences a drop in oxygen saturation, or shows other signs of respiratory distress, withdraw the tube into the posterior nasopharynx until normal breathing resumes. Do not force the tube or push it against resistance. Which patient does not have a medical condition that contraindicates placement of a nasogastric tube? - CORRECT ANSWER A 28-year-old patient who fractured a femur after heavy drinking Neither the patient's broken femur nor the patient's alcohol consumption would contraindicate placement of a nasogastric tube. What might the nurse do to reduce the patient's discomfort before inserting a nasogastric tube? - CORRECT ANSWER Examine each naris for patency and skin breakdown. Examining each naris for patency and signs of skin breakdown will help the nurse determine which naris will accommodate a nasogastric tube with less discomfort. Which intervention might the nurse delegate to nursing assistive personnel (NAP) when inserting a nasogastric tube? - CORRECT ANSWER Positioning the patient in a high-Fowler's position Positioning the patient is within NAP scope of practice How might the nurse minimize the patient's anxiety when removing a nasogastric tube? - CORRECT ANSWER Provide reassurance of what will happen during the procedure and talk the patient through the process. Letting the patient know what to expect during an intervention usually reduces anxiety. What would minimize the nurse's risk for contamination during the removal of a nasogastric tube? - CORRECT ANSWER Wearing treatment gloves Wearing gloves will protect the nurse from contamination. What will the nurse need before removing a patient's nasogastric tube? - CORRECT ANSWER A health care provider's order The nasogastric tube may be removed only with a health care provider's order. What patient care might the nurse delegate to nursing assistive personnel (NAP) when a patient's nasogastric tube is removed? - CORRECT ANSWER Providing the patient with mouth care The skill of mouth care may be delegated to NAP. Why does the nurse kink the nasogastric tube before removing it from a patient? - CORRECT ANSWER To keep any fluid from flowing out Kinking the tube keeps any residual fluid in the tube from flowing out.