Surgery Questions

General rule using contrast dye patient should be NPO for ____ hours

Nasopharyngeal airway is used to maintain (upper/lower) airway patency

Ensure what solution is available to combat hypoglycemia if TPN is disrupted

Low GRV ____-____mL indicates pt is tolerating feedings well

What type of NGT pump is used for gastric decompression by continuous/ intermittent suctioning

Tube feedings preferred over TPN for a critically ill pts (i.e shock, sepsis, respiratory failure) d/t blood shunting to vital organs putting patient at risk of stress _________

For abdominal/bariatric surgery, it is ____________ to insert a NGT that is left in place during the immediate postop period What is an expected finding of NGT color drainage during this post op period?

Avoid ________ tube feedings for clients at high risk for aspiration

For continuous NGT feedings how many mL should the nurse flush before starting feeding (10, 20, or 30?)

NGT is marked at the _________ with a permanent marker during the initial x-ray validation

Position for intermittent bolus feedings by NGT

NGT should be __________ before and after any medication administration

Verify NGT Placement:Aspirating gastric pH contents and testing the pH (gastric pH is)

"The nurse prepares to insert NGT for gastric decompression. After obtaining equipment, the nurse identifies the client, performs hand hygiene, applies clean gloves, assess nares, and selects a naris. Place the remaining steps in the correct order 1. advance the tube to the marked point2. ask client to flex head forward and swallow 3. gently insert tube to the marked point4. instruct client to extend neck back slightly 5. measure, mark, and lubricate tube6. verify tube placement and anchor

TPN is given to clients when ___________ nutrients is inappropriate or intolerable

During NGT insertion, the client begins to cough and gag when tube passes nasopharynx What action should the nurse take next? a) ask the client to take several sips of water b) pull the tube back slightly and pause to allow the client to breathe

Which instruction to nursing assistive personnel (NAP) reflects the nurse's correct understanding of the NAP's role in caring for a patient receiving intravenous (IV) fluids by gravity drip?A. "Assess the IV site frequently for signs of inflammation."B. "Be sure not to obscure the insertion site with the dressing."C. "Let me know when you notice that the IV bag contains less than 100 mL."D. "Tell the patient to notify me if the IV site is painful, swollen, or red."

Which response might the nurse give to nursing assistive personnel (NAP) who reports that the alarm is sounding on a patient's electronic infusion device (EID)?A. "Assess the IV site for signs of inflammation."B. "Be sure to change the dressing on the IV site."C. "I'll check the IV site and pump."D. "Turn off the alarm."

When administering an IV piggyback medication to infuse by gravity, how can the nurse ensure that the medication will flow properly?A. Use an infusion pump to regulate the flow rate of the piggyback medication.B. Hang the piggyback medication higher than the primary fluid.C. Attach the piggyback medication to the most proximal insertion port on the primary tubing.D. Use a secondary infusion set for the piggyback tubing.

Which instruction might the nurse give to nursing assistive personnel (NAP) regarding the care of a patient with an intravenous (IV) site dressing?A. "Assess the IV site frequently for signs of inflammation."B. "Be sure not to obscure the insertion site with the dressing."C. "If the gauze dressing looks damp, replace it with a dry 4 × 4 gauze."D. "Be sure to notify me if the patient reports that the IV site is painful or swollen."