- | P a g e
NSG 223 EXAM 3 MEDSURG NEWEST 2024-2025
ACTUAL EXAM COMPLETE 100 QUESTIONS AND
CORRECT DETAILED A NSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+ ||BRAND NEW
VERSION!
To prevent a common complication of continuous enteral tube feedings, a nurse should - ANSWER- limit the time the formula hangs to 4 hours
A nurse inserting a nasogastric tube asks the pt to flex her head toward her check after the tube passes through the nasopharynx.The action facilitates proper insertion of the tube by - ANSWER- closing off the glottis
To prevent aspiration during the administration of an enteral tube feeding, a nurse should - ANSWER- place the patient in Fowler's position (or elevate the bed at 30 degrees)
Nasogastric tube feedings are an appropriate choice for a patient who - ANSWER- is postoperative following laryngectomy.(immediately following removal of the larynx, patients typically 1 / 4
- | P a g e
receive IV fluids or parenteral nutrition until the gastrointestinal tract recovers from anesthesia. Then, a nasogastric tube is inserted and left in place for about 7 to 10 days to provide enteral feedings until swallowing is safe and adequate.)
A patient with a gastric ileus postoperatively requires nutritional support for approximately 2 weeks. Which of the following types of feeding tubes is appropriate for this patient? - ANSWER- Nasointestinal tube (A lack of motility in the stomach (gastric ileus) would prevent the digestion of enteral formula placed in the stomach.)
To determine how much of the length of a nasoenteric tube to insert, a nurse should measure the distance from the tip of the patient's nose to the earlobe and from the earlobe to the - ANSWER- xiphoid process plus 20-30 cm more. (Measure from the tip of the nose to the earlobe to the xiphoid process approximates the distance from the nose to the stomach for 98% of patients. For duodenal or jejunal placement, an additional 20- 30 cm is required.)
Which of the following formulas is appropriate to administer to a patient who has a dysfunctional gastrointestinal tract? - ANSWER- Elemental (elemental formulas contain predigested nutrients that are easy for a partially functional gastrointestinal tract to absorb.) 2 / 4
- | P a g e
An older adult patient in a long-term care facility is receiving intermittent enteral feedings in his room. His affect is flat, and the nurse suspects that he is feeling isolated. Which of the following interventions is appropriate for this patient? - ANSWER- Encourage him to go to the dining room at meal times to talk with other patients.
The most reliable method for verifying initial placement of a small-bore feeding tube is by - ANSWER- obtaining an abdominal x-ray
A nurse is providing teaching to a patient who is receiving intermittent nasogastric feedings. Which of the following should the nurse instruct the patient to report immediately? - ANSWER- Persistent coughing (This could indicate that the distal end of the nasogastric tube has moved into the respiratory tract. Immediate assessment is needed, because the patient might be at risk for aspiration.)
A nurse should recognize that nasogastric intubation is indicated to relieve gastric distension for which of the following patients?
- ANSWER- A 40 yr old patient with a postoperative bowel
- / 4
obstruction
- | P a g e
A nurse is caring for a patient who has a newly inserted nasogastric tube. Which of the following methods is appropriate for verifying the initial placement? - ANSWER- X-ray examination of the chest and abdomen.
A nurse is performing a nasogastric intubation. Which of the following actions should the nurse take immediately after inserting the tube to the predetermined length? - ANSWER- Inspect the oropharynx with a penlight and a tongue blade.
A nurse is caring for a patient who has a nasogastric tube connected to suction. Which of the following should indicate to the nurse that the tube has become occluded? - ANSWER- Patient's report of nausea (Tubes connected to suction decompress the GI tract. This is needed when peristalsis is absent. If gastric secretions are unable to move through the GI tract and if the nasogastric tube is unable to evacuate the stomach due to an occlusion, nausea and vomiting will result.)
During report, a nurse is informed that a patient has a nasogastric tube connected to continuous suction. The nurse should recognize that this patient must have which of the following types of tube? - ANSWER- Salem sump (A salem sump is the only type of tube that allows for continuous suction.The tube has two lumens; one removes gastric contents and the other serves as an air vent. The vent allows air to enter the
- / 4