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Practice Question

A client with abdominal distention has an NG tube hooked to low gastric suction. The client is reporting anxiety, nausea, discomfort and a feeling of bloating. Which of the following is the nurse's priority action?

Answer Choices:

Correct Answer:

Check to see if the suction equipment is working.

Rationale:

🛠When a patient with abdominal distention and an NG tube to suction reports bloating, nausea, and discomfort, the priority is to confirm system function (source of decompression).

🛠A malfunctioning system (e.g., disconnected tubing, occlusion, loss of suction) prevents gastric decompression, allowing gastric/intestinal accumulation and worsened symptoms.

🛠Restoring suction often provides rapid symptom relief, reduces vomiting/aspiration risk, and decreases intraluminal pressure.

🛠Assessment-first aligns with airway/breathing/circulation and Maslow/urgent physiologic needs, correcting the cause rather than masking symptoms.

🛠Verification includes canister, tubing patency, wall unit settings, and NG placement; if issues persist, escalate per protocol.

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This question is from EXAM #4 UPPER AND LOWER GI FALL 25 CLARK STATE COMMUNITY COLLEGE which contains 47 questions.

More Questions from This Exam
What information is important to teach a client concerning how they can prevent constipation?

Answer Choices:

A. Enemas, increased fluid intake, and exercise.
B. Exercise, increased fluid intake and high fiber diet.
C. Laxatives, increased fluid intake and low fiber diet.
D. Stool softners, low fiber diet and increased fluid intake.
A client returns from surgery with a colostomy. When assessing the stoma of the new colostomy, which sign and symptom indicates further intervention is needed?

Answer Choices:

A. The stoma is pink and moist.
B. The stoma is draining a small amount of pink mucous.
C. The stoma is dry and intact and light brown in color.
D. The stoma is protruding ¾ of an inch.
A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take?

Answer Choices:

A. Mix the three medications together prior to administering.
B. Dilute each medication with 30 mls of water.
C. Maintain the head of the bed in a flat position for 30 min following medication administration.
D. Flush the NG tube with 30 mL water immediately after giving the medications.
The nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube. Which of the following is an appropriate nursing action prior to administering the client's medication?

Answer Choices:

A. Warm the feeding solution to body temperature.
B. Place the patient in Simm's position.
C. Aspirate stomach contents and confirm that the stomach contents is above ph of 5.
D. Check that residual gastric contents is under 150 ml.
From Exam
EXAM #4 UPPER AND LOWER GI FALL 25 CLARK STATE COMMUNITY COLLEGE

47 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: General Exams
  • Domain: Medical-surgical📚
  • Answer Choices: 4
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