Nursing 400 Final Exam combined study guides (With 100% correct answers)

Dysphagia correct answers inability to swallow or difficulty in swallowing 2 key points about Dysphagia correct answers 1. 30 mins prior to meal time, the pt needs to be sitting at 90 degree unless its contraindicated 2. Monitor for possibility of aspiration -s/s of aspiration -Coughing -Wheezing -Redness of face -Decrease O2 sat 2 key points about Nasogastric Tube correct answers Used for pt who suffers from dysphagia (difficulty swallowing) Residual volume must always be checked q4h d/t risk for aspiration *** if there is a large amount of residual volume, that means pt is not digesting the food - inform MD** Nasogastric Tube Supplies correct answers Nasogastric tube Irrigation tray - 60 ml syringe A bottle of sterile water lubricant NGT insertion correct answers 1. Measure the tube from the nose to the back of the ear and down a little pass the bottom of the xiphoid process 2. Mark the tube (sharpie) 3. Have the patient swallow while inserting the tube (with or without ice chips) NGT placement correct answers 1. Once the NGT is inserted, aspirate 30 mL of air 2. Place the stethoscope over the stomach and listen to the "wooooosh" sound as you inject the air 3. If necessary, get an order for x ray for proper placement. NGT medication administration correct answers 1. Check if pt is on any fluid restrictions