Case Study: Patient with an NG Tube Mr. Jessup had abdominal surgery and has just been transferred to the general surgery floor. He still is NPO with an IV running and a nasogastric tube (gastric sump) to ILWS.
During your initial assessment, Mr. Jessup is complaining of nausea and having dry heaves. There is no new drainage in the collection container for the nasogastric tube. What is the most appropriate nursing action at this time? A. Check NG tube for placement and reposition as needed. B. Call the physician C. Administer an antiemetic D. Administer pain medication
To check for placement, you would use the following method: A. Put the end of the tube in a glass of water B. Call for an x-ray C. Check color of drainage D. Check the expiration date on blood product. E. Listen over abdomen as you instill 10 ml of air
After you advance the tube about 1 inch and administer zofran, Mr. Jennings feels much better. By the end of the shift he has put out 800 ml of greenish yellow drainage in the collection container. According to the orders, the gastric drainage should be replaced with .5 ml of normal saline for each 1 ml of drainage. This means that he should receive _____ of saline. A. 200 ml B. 400 ml C. 600 ml D. 800 ml
Which of the following would you evaluate before determining that it is appropriate to follow the order to remove the nasogastric tube? A. Assess for active bowel sounds B. Assess for passage of flatus and or stool C. Assess for minimal gastric drainage D. All the above
The next day the nasogastric tube is removed and Mr. Jennings is able to tolerate clear liquids. He is ambulating easily and will be discharged the next day.
