Practice Quiz

Certified Gastroenterology RN Exam Prep

Category - Care Management

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Nina the New Nurse is caring for a client who has just returned from gastric surgery. The client has a NG tube to low suction, is awake, and is not complaining of pain; however, he is complaining of severe nausea. While Nina the New Nurse is in the client's room to administer an anti-emetic, the client vomits. After administering the medication, Nina the New Nurse next irrigates the NG tube with 30cc of normal saline. Which one or more of the following, if any, did Nina the New Nurse do wrong?

  1. Nina the New Nurse is correct
  2. Nina the New Nurse should not irrigate a gastric surgery client, unless prescribed by the surgeon
  3. Nina the New Nurse should have advanced the NG tube and then irrigated
  4. Nina the New Nurse should have examined the NG tube for occlusions, and/or the suction apparatus for malfunctions
Explanation

Answer: B and D - Generally, irrigation of NG tubes of post-op gastric surgery clients is not prescribed; therefore, the nurse must call the surgeon if this is needed. In this scenario, Nina the New Nurse skipped the first step in the nursing process: assessment. Assessing why the client is vomiting should include assessing the amount and contents of the suction container, the patency of the suction tubing, and the proper functioning of the suction equipment.

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