Chapter 31 Advanced Procedures

Chapter 31  Advanced Procedures

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is preparing for placement of a nasogastric tube in a client and will use which type of technique for this procedure?
a.
sterile
c.
medically aseptic
b.
clean
d.
surgically aseptic

ANS: B
The placement of a nasogastric tube is performed using the clean technique.

PTS: 1 DIF: Comprehension REF: White (2010)

2. The nurse is preparing for placement of a nasogastric tube in a client. Before inserting a nasogastric tube, which position will the nurse place the client?
a.
high Fowler’s
c.
supine
b.
Sims’ left
d.
Sims’ right

ANS: A
Positioning for placement of a nasogastric tube includes putting the client in high Fowler’s.

PTS: 1 DIF: Comprehension REF: White (2010)

3. To estimate the length of the nasogastric (NG) tube that should be inserted to reach the client’s stomach, the nurse should use the NG tube to measure the distance from the:
a.
client’s earlobe to the sternum after placing the client in a sitting position
b.
base of the client’s nose to the umbilicus after placing the client in a supine position
c.
mouth to the earlobe and then to the xiphoid process after placing the client in a supine position
d.
tip of the client’s nose to the earlobe and then to the xiphoid process after placing the client in a sitting position

ANS: D
To estimate the length of the NG tube, the nurse would measure from the tip of the client’s nose to the earlobe and then to the xiphoid process after placing the client in a sitting position.

PTS: 1 DIF: Comprehension REF: White (2010)

4. As a nasogastric (NG) tube is being inserted, the nurse should tell the client to:
a.
tip the head forward when the tube reaches the nasopharynx, to minimize gagging
b.
tip the head backward when the tube reaches the nasopharynx, to minimize gagging
c.
keep the head straight to aid in visualizing the nasal passage
d.
take deep breaths while the tube is being advanced, to ease insertion

ANS: A
As an NG tube is being inserted, ask the client to tip the head forward when the tube reaches the nasopharynx to minimize gagging.

PTS: 1 DIF: Comprehension REF: White (2010)

5. After a client’s nasogastric (NG) tube is inserted, what is the BEST way for the nurse to confirm the tube is correctly placed?
a.
Inject air and auscultate for a “whoosh.”
b.
Aspirate for gastric contents and measure pH.
c.
Ask the client if the tube can be felt in the stomach.
d.
Ask the health care provider to check the placement.

ANS: B
Placement is confirmed by aspiration for gastric contents and measure of pH.

PTS: 1 DIF: Comprehension REF: White (2010)

6. Which of these signs would indicate to the nurse that a client’s nasogastric (NG) tube has become blocked?
a.
The client begins to gag.
c.
The client becomes irritable.
b.
The client becomes restless.
d.
The client begins to vomit.

ANS: D
If the NG tube becomes blocked, the client will begin to vomit.

PTS: 1 DIF: Comprehension REF: White (2010)