Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 29- Gastrointestinal Intubation
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is caring for a client who has taken an overdose of ibuprofen. Which of the following tubes is most suitable for removing the toxic substances? | |
| A) | Orogastric tube | |
| B) | Nasointestinal tube | |
| C) | Sump tube | |
| D) | Nasogastric tube | |
| Ans: | A | |
| Feedback: | ||
| An orogastric tube inserted at the mouth into the stomach is used in an emergency to remove toxic substances that have been ingested. The diameter of the tube is large enough to remove pill fragments and stomach debris. A nasointestinal tube is used to provide nourishment to the client. Sump tubes are used almost exclusively to remove fluid and gas from the stomach. A nasogastric tube is placed through the nose and advanced to the stomach. It is smaller in diameter than an orogastric tube; hence, it is not suitable for removing pill fragments and stomach debris quickly. | ||
| 2. | A nurse is caring for a client who is experiencing dumping syndrome following a nasointestinal intubation. Which of the following signs or symptoms is seen in a client with dumping syndrome? | |
| A) | Pallor | |
| B) | Wheezing | |
| C) | Headache | |
| D) | Dizziness | |
| Ans: | D | |
| Feedback: | ||
| The client will show symptoms of dizziness, sweating, and nausea caused by fluid shifts from the circulating blood to the intestine and low blood glucose level in case it is due to a surge of insulin. Pallor, headaches, and wheezing are not symptoms of dumping syndrome. | ||
| 3. | A nurse needs to insert a gastrointestinal tube for a client with peptic ulcers. Which of the following is the clearest indication for the use of gastrointestinal intubation? | |
| A) | Controlling gastric bleeding | |
| B) | Examining the peptic ulcers | |
| C) | Measuring gastric residual volume | |
| D) | Reducing risk of reflux | |
| Ans: | A | |
| Feedback: | ||
| A gastric or intestinal tube is used for a variety of reasons, including controlling gastric bleeding, a process called compression or tamponade. An endoscope is used for examining peptic ulcers. Gastric residual and gastric reflux are caused by gastrointestinal intubation, so it would be incorrect to say that gastrointestinal intubation measures gastric residual or reduces the risk of reflux. | ||
| 4. | A nurse notices that a client’s nasogastric tube is draining poorly. Which of the following is a possible cause of a poorly draining nasogastric tube? | |
| A) | A vent has been left unplugged by the nurse. | |
| B) | The drainage container is empty. | |
| C) | The tube is displaced above the cardiac sphincter. | |
| D) | The suction level (mm Hg) is higher than it should be. | |
| Ans: | C | |
| Feedback: | ||
| Displacement above the cardiac sphincter is a possible cause of a poorly draining nasogastric tube. An unplugged vent will not cause poor drainage because often nurses remove the cap and restore the port to atmospheric pressure. A drainage container that is filled beyond capacity causes poor draining. Excessive suction does not cause poor drainage. | ||
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