Question

1. A nurse is inserting an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse take to verify proper placement of the tube?
   1. Place the end of the NG tube in water to observe for bubbling.
   2. Auscultate 2.5 cm (1 in) above the umbilicus while injecting 15 mL of sterile water.
   3. Assess the client for a gag reflex.
   4. Measure the pH of the gastric aspirate
2. A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
   1. Cleanse the skin around the stoma with normal saline.
   2. Secure the tracheostomy ties to allow one finger to fit snugly underneath.
   3. Soak the outer cannula in warm, soapy tap water.
   4. Use a cotton tip applicator to clean inside the inner cannula.
3. A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?
   1. Supine in low-Fowler’s position
   2. Right lateral in Trendelenburg position
   3. Side-lying with the right side of the chest elevated
   4. Prone with pillows under the lower extremities
4. A staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on clients who are confused. Which of the following instructions should the staff nurse include?
   1. “Use full-length side rails on the client’s bed.”
   2. “Check on the client frequently while he is in the restroom.”
   3. “Encourage physical activity throughout the day to expend energy.”
   4. “Remove clocks from the client’s room.”
5. A nurse is assessing a client’s extraocular eye movements. Which of the following actions should the nurse take?
   1. Instruct the client to follow a finger through the six cardinal positions of gaze.
   2. Hold a finger 46 cm (18 in) in front of the client’s eyes.
   3. Ask the client to cover her right eye during assessment of her left eye.
   4. Position the client 6.1 m (20 feet) away from the Snellen Chart.

Answer 1

1. D. Measure the ph of the gastric aspirate

Nurses can check the placement of the patient’s NG tube by using ph test - In this method aspires the NG tube and checks it  by using pH paper. If the ph is 5.5 or higher, the NG tube has be properly placed.

2. All of the above

tracheostomy care - the site should be cleaned with normal saline solution , a new dressing to the stoma site to absorb secretions and insulate the skin , Using cotton string ties or a Velcro holder to secure the trach tube. Velcro tends to be more comfortable than ties, which may cut into the patient’s neck, soak the outer canula in warm ,soapy tap water .
if you want other questions to be answered means you have to ask it by separately.