Question 1

Prior to surgery to relieve an intestinal obstruction, 3-month-old is kept NPO and has a nasogastric tube in place. To calm, as well as meet the infant's developmental needs best, the nurse should:

Accepted Answer

Sucking is primary need of infancy. It decreases anxiety and does not interfere with gastric decompression.

Question 2

A nurse is preparing to administer total parenteral nutrition to a client with a severely dysfunctional gastrointestinal tract. Which of the following actions of the nurse is inappropriate?

Accepted Answer

IV medications and blood are not given through the TPN line to prevent infection and incompatibility. The TPN solution is highly concentrated with glucose, making it a good breeding site for bacterial growth. Therefore, change of solution is necessary every 12 to 24 hours. Insulin can be added to control the blood glucose level. The use of strict aseptic technique is necessary to prevent infections.

Question 3

A nurse is caring for a client diagnosed with chronic pancreatitis. When reviewing the laboratory results, which of the following serum amylase levels would the nurse expect?

Accepted Answer

The nurse expects a serum amylase level of 500 units/L. Serum amylase is a gastric enzyme that breaks down carbohydrates into smaller molecules. In healthy individuals, the amylase, produced in the pancreas, is secreted into the pancreatic ducts and then transported to the intestine. If the pancreas is damaged or inflamed, amylase seeps out of the pancreas and is then released into the bloodstream. The normal range of serum amylase is 40
140 units/L. An extremely elevated serum amylase indicates acute pancreatitis, diseased gallbladder, or bile duct blockage.

Question 4

A nurse aspirates the client's stomach contents and checks the contents' pH before tube feeding. The nurse confirms the tube placement is correct when the pH level reads:

Accepted Answer

The gastric fluid, composed of digestive fluids, has a pH of 1.0-2.0. The pH level in the duodenum or jejunum is 4.5
5.0. Gastric fluids are acidic to help break down the structure of proteins. A pH or 7.0 or 8.0 is too alkalinized.

Question 5

A nurse is preparing to remove the nasogastric tube of Hannah, a 67-year-old client. The nurse should instruct the client to do which of the following just before removing the tube?

Accepted Answer

When removing the nasogastric tube the nurse should instruct the client to hold her breath to avoid unintentional aspiration of gastric contents in the tube. The maneuver should be quick but gentle to reduce discomfort and tissue trauma and to avoid drainage of gastric contents.

Quiz 4: Neonatal, Pharmacological, and Reduction of Risk

Prior to surgery to relieve an intestinal obstruction, 3-month-old is kept NPO and has a nasogastric tube in place. To calm, as well as meet the infant's developmental needs best, the nurse should:

A nurse is preparing to administer total parenteral nutrition to a client with a severely dysfunctional gastrointestinal tract. Which of the following actions of the nurse is inappropriate?

A nurse is caring for a client diagnosed with chronic pancreatitis. When reviewing the laboratory results, which of the following serum amylase levels would the nurse expect?

A nurse aspirates the client's stomach contents and checks the contents' pH before tube feeding. The nurse confirms the tube placement is correct when the pH level reads:

A nurse is preparing to remove the nasogastric tube of Hannah, a 67-year-old client. The nurse should instruct the client to do which of the following just before removing the tube?