Since I'm on a roll, here are Monday's questions!

[twinmommy+2, ADN, BSN, MSN]

1. The nurse is caring for a client with a resolved intestinal obstruction who has a nasogastric tube in place. The client has tolerated the tube being clamped every 2 hours for 1 hour. The physician has now ordered the nasogastric tube to be removed. Before removing the tube, the nurse assesses for

a. proper nasogastric tube placement

b. normal serum electgrolyte levels

c. the presence of bowel sounds in all four quadrants

d. Normal pH of the gastric aspirate

2. The nurse has administered about half of the enema solution when the client complains of pain and cramping. which nursing action is the most appropriate?

a. Raise the enema bag so that the solution can be completed quickly

b. Clamp the tubing for 30 seconds and restart the flow at a slower rate

c. Reassure the client and continue the flow

d. Discontinue the enema and notify the physician.

3. The nurse is preparing to administer an emema. The nurse positions the client in the

a. Left lateral position with the right leg acutely flexed

b. Right Sims' position

c. Dorsal recombent position

d. Right lateral position with the left leg acutely flexed

4. The nurse aspirates 40 mL of undigested formula from the client's nasogastric tube. Before administering an intermittent tube feeding, the nurse understands that 40 mL of gastric aspirate should be

a. Discarded properly and recorded as output on the client's intake and output record

b. Poured into the nasogastric tube through a syringe with the plunger removed

c. Mixed with the formula and poured into the nasogastric tube through a syringe with the plunder removed

d. Diluted with water and injected into the nasogastric tube by putting pressure on the plunger

[nahjah]

Not sure if these are right but I'll try.....

1. c

2. b

3. a

4. b

[Imafloat, BSN, RN]

1. A You should always check for proper placement of NG tube before you do anything.

2. B Not sure but seems like the best choice.

3. A Pretty sure it is left side.

4. B If you discard the formula you are also discarding other stomach contents such as electrolytes etc...

[colleennurse, ASN, RN]

1. c

2. c

3. a

4. b

[ckh23, BSN, RN]

Here goes nothing

1.D

2.B

3.A

4.D

[Iluvhospice]

C

B

A

B

[Rn2b204]

C

B

A

B

[willdgate]

c

b

a

a

[michw2]

1.c

2.b

3.a

4.d

[beautimouslove]

1.

c. the presence of bowel sounds in all four quadrants (for need to digest nutrients on their own)

2.

b. Clamp the tubing for 30 seconds and restart the flow at a slower rate (slow rate is most always the right answer for a question like this)

3.

a. Left lateral position with the right leg acutely flexed

b. Right Sims' position

(left sims - i think)

4.

b. Poured into the nasogastric tube through a syringe with the plunger removed (always give content back for electrol bal)

oh, let us know what the right answers are... it will drive me crazy!!!!!

[smileche]

1. c

2. c

3. a

4. b

[twinmommy+2, ADN, BSN, MSN]

I'll post the answers later tonight to give more people a chance to look and answer if they want. :)