HESI FUNDAMENTALS SMART STUDY EXAM

Fundamental HESI Which assessment data would provide the most accurate determination of proper placement of anasogastric tube? • Aspirating gastric contents to assure a pH value of 4 or less. • Hearing air pass in the stomach after injecting air into the tubing. • Examining a chest x-ray obtained after the tubing was inserted. • Checking the remaining length of tubing to ensure that the correct length was inserted. C) Examining a chest x-ray obtained after the tubing was inserted Both (A and B) are methods used to determine proper placement of the NG tubing. However, the bestindicator that the tubing is properly placed is (C). (D) is not an indicator of proper placement When assisting an 82-year-old client to ambulate, it is important for the nurse to realize that the centerof gravity for an elderly person is the • Arms. • Upper torso. • Head. • Feet B) Upper torso The center of gravity for adults is the hips. However, as the person grows older, a stooped posture is common because of the changes from osteoporosis and normal bone degeneration, and the knees, hips,and elbows flex. This stooped posture results in the upper torso (B) becoming the center of gravity for older persons. Although (A) is a part, or an extension of the upper torso, this is not the best and most complete answer. Which action is most important for the nurse to implement when donning sterile gloves? • Maintain thumb at a ninety degree angle. • Hold hands with fingers down while gloving. • Keep gloved hands above the elbows. • Put the glove on the dominant hand first. C) Keep gloved hands above the elbows Gloved hands held below waist level are considered unsterile (C). (A and B) are not essential to maintaining asepsis. While it may be helpful to put the glove on the dominant hand first, it is not necessary to ensure asepsis (D)