NSG 501 - Bedpans, Enemas, Feeding Assistance, and Nasogastric Tube latest exam version with 100% accurate solutions

Which intervention is appropriate when a 78-year-old patient who has just had a hip replacement requests a bedpan for a bowel movement?

Provide a fracture bedpan.

How can the health care team member assist a postoperative patient who is reporting extreme difficulty defecating after being placed on the bedpan?

Raise the patient's head to a sitting position.

Which intervention is appropriate when the health care team member is preparing to place a bedpan underneath a patient who has had a hip replacement?

Maintain the abduction pillow between the patient's knees.

An older adult patient who cannot get out of bed reports diarrhea and perineal burning and irritation. On assessment, the nurse observes that the perineal area is reddened and irritated. Which intervention is the most appropriate to help prevent skin breakdown?

Keep the perineal area meticulously clean of the liquid stool.

To educate a female patient on appropriate perineal care, the health care team member should emphasize which technique?

Wiping from the front of the perineal area to the back after urination

An 80-year-old patient with fragile skin asks to use the bedpan. Which intervention is appropriate to prevent skin tears in this patient?

Raise the patient's hips or roll the patient to the side to place the bedpan.

Which intervention is correct regarding appropriate bedpan use for a patient with a hip fracture?

Use a fracture pan and keep the abduction pillow in place.

Which directive states the correct use of a bedpan?

Ensure that the open rim of the bedpan is facing the foot of the bed.

For safe placement of a patient on a bedpan, which assessment should be performed?

Assess the patient's level of mobility.

After assisting a patient off a bedpan, the health care team member should take which action next to protect self?

Don clean gloves and eye protection when emptying the contents of the bedpan.

While administering a preoperative enema for colon surgery, the health care team member notes that the solution has stopped flowing into the rectum after only 50 ml have infused. The team member ensures that the patient and the rectal tubing are correctly positioned and carefully tries to reposition the enema tubing with no success. What should the team member do next?

Stop administering the enema and notify the practitioner.

After prostate surgery, a patient whose bowel sounds are normal in quality and quantity reports significant constipation. The practitioner orders an oil-retention enema. Why should the health care team member question the order?

Enemas are contraindicated after recent prostate surgery.

Which intervention is appropriate when administering an enema to a patient with a history of poor anal sphincter control?

Position the patient on the bedpan in a comfortable dorsal recumbent position.

The health care team member is caring for a pediatric patient with constipation. Assessment reveals active bowel sounds but no bowel movement for 3 days. What is the recommended initial treatment?

A stool softener

An older adult patient has a distended abdomen and adequate bowel sounds. The patient has not had a bowel movement in 3 or 4 days and is extremely constipated. The practitioner orders an enema until clear. What complication is the most significant risk for this patient?

Fluid and electrolyte imbalance, leading to unstable vital signs

The health care team member is administering an enema when the patient begins to report abdominal cramping. What should the team member do next?

Temporarily stop the flow of the liquid.

The practitioner orders a sodium polystyrene sulfonate enema for a hospitalized patient. What is the purpose of this type of enema?

To reduce high serum potassium levels

The practitioner orders an enema until clear for a hospitalized adult patient. When does the health care team member know that the procedure is completed?

When the fluid is free of fecal matter

A tap water enema has been ordered for an adult patient. What is the recommended fluid volume of the enema preparation?

750 ml

A pediatric patient is experiencing constipation related to postoperative pain and immobility. What is the recommended initial treatment for constipation in pediatric patients?

Oral stool softeners

Which patient population requires an assessment to detect food aversions secondary to medications?

Patients with cancer

An older adult patient recovering from a stroke was recently found to have dysphagia, and the patient expresses to the health care team member a desire to eat. What should the team member's first action be?

Review the patient's speech evaluation and recommendations.

What is the health care team member's first priority before assisting a patient with eating?

Screening the patient for the ability to swallow

Which technique may be used to help a patient eat while also decreasing the risk of aspiration with meals?

Have the patient sit up during and after eating.

Which intervention during mealtime can help a patient who has a visual impairment to eat independently?

Using a clock image to describe each food's location on the plate

Which assessment detail should be determined by an RD?

Changes to diet plan

The practitioner has ordered a qualitative diet modification for a hospitalized patient. Which change would occur with this modification?

Consistency of food

A patient with hemiplegia has a limited ability to eat independently. Which health care team member should collaborate with a nurse to recommend adaptive equipment for feeding?

Occupational Therapist

The health care team member is teaching a caregiver about feeding techniques for an older adult patient. Where should the caregiver be positioned during the meal?

Sitting in front of and at the same level as the patient

The health care team member is educating the caregiver of an older adult patient with dementia who needs assistance with meals. How should food be prepared for the older adult patient?

Ensure that food is cut into bite-size pieces that can be eaten as finger foods if desired.

Which technique helps ensure placement of an NG or OG tube into the esophagus and the stomach as opposed to the lung?

Have the patient use the chin-tuck position.

What should be done if resistance is encountered during the initial attempt to insert an NG tube?

Pull the tube back slightly and angle it downward.

A patient has just had an OG tube inserted for medication administration. What is the best way to accurately verify its placement?

Verify through radiographic examination.

Which intervention should be part of the plan of care of a patient who has an NG or OG tube in place after gastric surgery?

Do not reposition the tube.

How should the nurse determine if the patient's OG tube has become displaced?

Compare the external length of the tube to the initial external length.

If a patient is going to have an NG or OG tube inserted, which action should the nurse take next after entering the patient's room, performing hand hygiene, and donning gloves?

Verify the correct patient using two identifiers.

The patient has an NG tube connected to low constant suction. Which intervention is the most important for assessing proper NG tube function?

Observing the NG tube's aspirate

Which action should be taken before removal of a patient's NG or OG tube?

Insert a small bolus of air into the lumen to clear fluid from the tube.

Which intervention is a comfort measure that can ease the discomfort of NG or OG tube insertion?

Provide a focal point for the patient, such as something to hold and squeeze as desired.

Before inserting an NG or OG tube, the nurse should alert the patient that he or she may experience which sensation as the tube passes the back of the throat?

Gagging