December Test Takers Support Group - page 30

So, I finally feel I should not give up......I will be a retaker for 2nd time in December. I felt so low when I failed the test in July'07. I was thinking to take in october but just couldnt get... Read More

  1. by   ava'smomRN
    Quote from born-in-the-usa
    this really may sound very dumb question...hope u don't mind....i am still stuck

    when you are decompressing stomach using ng tube......what does that mean ???? we use ng tube for various reasons.....but decompressing as i understand in lay terms means removing pressure.....when we use ng tube for decompressing.......is it removing the pressure from fluid build up, constipation, air build up from surgery ???

    i have been getting ng questions wrong and i feel i understand the concept but still hard to imply....i dont understand the reason to use ng tube if someone is vomiting.....or when someone has bowel obstruction.....can someone make it easy to understand, please. thnx in adv.
    the purpose of the ng tube for decompression is to give the stomach time to relax. meaning, to prevent stomach ulcers and such after surgery,etc. when i see ng tubes, its usually removing fluid like stomach acid or vomit. for vomiting the ng tube is used to preserve the esophagus and prevent aspiration. for bowel obstruction, i am guessing its a preventative measure. i hope this helps a bit
  2. by   igmirnor
    hi born-in-the -usa
    check this out ,maybe too much detail but explains ng tube...
    it is simply put, to avoid abdominal distension in post op patients,thereby avoid wound dehiscence(break in sutures),and aspiration which can cause aspiration pneumonia etc.

    http://sightsure.com/questions_and_answers.htm#why%20is%20gastric%20dec ompression%20important

    gastric decompression is important for a variety of cases. obtunded or mechanically ventilated patients are at risk for abdominal distension and gastric aspiration. critically ill and certain postoperative patients are at risk for ileus and subsequent abdominal distension with emesis and or gastric aspiration. gastric decompression in the postoperative management of certain patient with gastrointestinal anastomosis reduces the risk of anastomotic leak. in some patients with intrinsic bowel disorders, motility may be impaired requiring gastric decompression to prevent or reduce abdominal distension. gastric decompression is also useful in the management of certain cases of toxic ingestion. the risk of gastric aspiration during general anesthesia may be reduced with nasogastric decompression in some cases.
    the complications associated with non-functioning nasogastric tubes include aspiration pneumonitis with its associated high mortality, respiratory distress secondary to abdominal distension, disruption of gastrointestinal anastomosis and intractable emesis.
    Quote from born-in-the-usa
    this really may sound very dumb question...hope u don't mind....i am still stuck

    when you are decompressing stomach using ng tube......what does that mean ???? we use ng tube for various reasons.....but decompressing as i understand in lay terms means removing pressure.....when we use ng tube for decompressing.......is it removing the pressure from fluid build up, constipation, air build up from surgery ???

    i have been getting ng questions wrong and i feel i understand the concept but still hard to imply....i dont understand the reason to use ng tube if someone is vomiting.....or when someone has bowel obstruction.....can someone make it easy to understand, please. thnx in adv.
    Last edit by igmirnor on Dec 18, '07
  3. by   igmirnor
    hope this helps
    in case of bowel obstruction or intestinal obstruction , the fluid and gas build up above the level of obstruction, can cause backflow , thereby high risk of aspiraton,(therefore pt presents with vomiting, abd distension etc) similarly in operated pts there is ileus, thereby we listen /auscultate for bowel sounds , the return of which signifies motility, so ng decompression is ,you are right ,simply removing pressure built up by removing gas and fluids from git.
    Quote from igmirnor
    hi born-in-the -usa
    check this out ,maybe too much detail but explains ng tube...
    it is simply put, to avoid abdominal distension in post op patients,thereby avoid wound dehiscence(break in sutures),and aspiration which can cause aspiration pneumonia etc.

    http://sightsure.com/questions_and_answers.htm#why%20is%20gastric%20dec ompression%20important

    gastric decompression is important for a variety of cases. obtunded or mechanically ventilated patients are at risk for abdominal distension and gastric aspiration. critically ill and certain postoperative patients are at risk for ileus and subsequent abdominal distension with emesis and or gastric aspiration. gastric decompression in the postoperative management of certain patient with gastrointestinal anastomosis reduces the risk of anastomotic leak. in some patients with intrinsic bowel disorders, motility may be impaired requiring gastric decompression to prevent or reduce abdominal distension. gastric decompression is also useful in the management of certain cases of toxic ingestion. the risk of gastric aspiration during general anesthesia may be reduced with nasogastric decompression in some cases.
    the complications associated with non-functioning nasogastric tubes include aspiration pneumonitis with its associated high mortality, respiratory distress secondary to abdominal distension, disruption of gastrointestinal anastomosis and intractable emesis.
  4. by   massou
    Congratulations to Summerbummer. You are an RN.
  5. by   igmirnor
    massou ...plz check your facts...
    Quote from massou
    Congratulations to Summerbummer. You are an RN.
    Last edit by igmirnor on Dec 18, '07
  6. by   summerbummer21
    Quote from massou
    Congratulations to Summerbummer. You are an RN.

    Nope, I'm not yet one. Just found out today. I'm so disappointed I have no words to say. The test really didn't seem too hard, I don't know. And I honestly do not know if that time for me to become an RN will ever come. =_(
    Last edit by summerbummer21 on Dec 18, '07
  7. by   igmirnor
    OMG I'm so sorry!!forgive me plz.. someone posted congrats and i just continued!! I will keep you in my prayers.. I am sure your time will surely come.. just take a short break and continue in your goal which is to be a RN..
    Quote from summerbummer21
    Nope, I'm not yet one. Just found out today. I'm so disappointed I have no words to say. The test really didn't seem too hard, I don't know. And I honestly do not know if that time for me to become an RN will ever come. =_(
  8. by   wizard100
    Quote from summerbummer21
    nope, i'm not yet one. just found out today. i'm so disappointed i have no words to say. the test really didn't seem too hard, i don't know. and i honestly do not know if that time for me to become an rn will ever come. =_(

    i think the test is out of this world. you are not alone. please, dont think its you....i think the test is so screwy......out of this world....

    i know you can do it. give yourself a little bit of time. wait until you get your report from bon....take a break. we all will be with you. god is testing us all....and god wants us to pass when its best time for us. believe me you can do it, its just a matter of time.

  9. by   wizard100
    Nurdar,

    Good luck for tomorrow. Take your time and pray as you answer every question. We all will be praying for you.
  10. by   massou
    igmirnor, I only posted that because I saw someone had congratulated summerbummer. I was only following the thread.There is no need to be harsh to me. I am a candidate myself, so I will NEVER play with someone's emotions.
  11. by   massou
    Summerbummer, I saw a thread with Congrats to you, so I followed it. Sorry about that.
  12. by   WAstateRN
    Quote from massou
    Summerbummer, I saw a thread with Congrats to you, so I followed it. Sorry about that.
    massou,
    mistakes are inevitable as human beings....dont hammer yourself.....
  13. by   WAstateRN
    summerbummer,

    extremely sorry for you!!!
    dont lose hope...give some time
    may be change ur prep method or style

    i wish you best in the future.
    vent out anything you want
    we are here to support you!!!

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