Practice Question
A nurse is checking for proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?
Answer Choices:
Correct Answer:
Request a chest x-ray
Rationale:
💎 The most reliable method to verify feeding tube placement is a chest/abdominal x-ray. This ensures the tube is in the stomach or small intestine, not in the respiratory tract.
💎 While checking pH of gastric aspirate can help, it is not as accurate as radiographic confirmation, especially in patients on acid-suppressing medications.
💎 Auscultating for air insufflation (the “whoosh test”) is not reliable and is no longer recommended because it cannot rule out misplacement in the lungs or esophagus.
💎 Measuring bilirubin in aspirate is not a standard or reliable method for confirming placement.
💎 Since misplaced tubes can cause serious complications such as aspiration pneumonia or lung injury, an x-ray remains the gold standard for safe practice.
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This question is from PN fundamentals 2023 (ATI) which contains 67 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Fundamentals of Nursing
- Answer Choices: 4