1.) The gold standard for confirming placement of a newly inserted nasogastric (
ID: 128928 • Letter: 1
Question
1.)
The gold standard for confirming placement of a newly inserted nasogastric (NG) tube is:
a. assessment of post-feed residual volume.
b. auscultation after administration of air bolus.
c. radiographic confirmation with a chest x-ray.
d. visualization of aspirated fluid.
a. assessment of post-feed residual volume.
b. auscultation after administration of air bolus.
c. radiographic confirmation with a chest x-ray.
d. visualization of aspirated fluid.
2. Which emergent medical condition is associated with Beck's Triad? a. Cardiac tamponade b. Diabetic ketoacidosis c, Hvpertensive crisis d. Pulmonary embolism 3. The most serious complication of percutaneous transluminal coronary angioplasty (PTCA) is: a. bleeding/hemorrhage b.complete vessel occlusion c. pericardial tamponade pulmonary embolism d. 4. Mr. Greer was admitted with an acute myocardial infarction (AMI) to the cardiac stepdown unit and is being prepped for emergency cardiac catheterization. In performing patient teaching, you describe to him that his heart is no longer able to pump enough blood to meet the oxygenation and metabolic needs of his body. This condition is known as: a. cardiogenic shock. b. cardiomyopathy c. congestive heart failure. d. coronary artery disease. 5. You are assigned to care for a patient with a right pleural chest tube in place. Upon assessment of the wet suction water seal drainage system, you note continuous bubbling in the water seal chamber. The appropriate nursing action would be to: a. call for a rapid response team to assess the patient. b. evaluate the drainage system for an air leak. c. increase the suction to remove residual air d. remove any visible blockage from the drainage tubing.Explanation / Answer
Ans 1 : C) radiographic confirmation with a Chest X ray
The Chest X ray is the gold standard for confirming the placement of Naso gastric tube .
But this gold standard is not usually used in routine. It is used for critially ill and older patients. Normally auscultation or the whoosh test is not considered as a reliable test for the confirmation of NG tube.
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