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Practice Question

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:

Correct Answer:

Aspirate stomach contents and confirm that the stomach contents is above ph of 5.

Rationale:

🧪Before administering medications via a PEG, verify gastric placement by aspirating and checking pH (gastric typically ≤ 5) to reduce aspiration risk.

🧪Confirming acidic pH validates that the distal end is in the stomach, not dislodged into the esophagus or respiratory tract.

🧪Giving meds without placement verification can lead to pneumonitis, ineffective therapy, and patient harm.

🧪Placement checks are a first-priority safety step before any fluid, feed, or medication via enteral access.

🧪Combine with HOB elevation and appropriate flushing for comprehensive safe enteral medication administration.

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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.
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:

A. Request a prescription for some medication to ease the client's anxiety.
B. Irrigate the nasogastric tube with 100ML of sterile water.
C. Check to see if the suction equipment is working.
D. Remove and reinsert the nasogastric tube.
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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