Athabasca University,
Nursing 400 Final Exam
combined study guides
questions with Complete
Solutions
Dysphagia - ANS-inability to swallow or difficulty in swallowing
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2 key points about Dysphagia - ANS-1. 30 mins prior to meal time, the pt needs to be
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b sitting at 90 degree unless its contraindicated
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2. Monitor for possibility of aspiration
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-s/s of aspiration
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-Coughing
-Wheezing
-Redness of face b b
-Decrease O2 sat b b
,2 key points about Nasogastric Tube - ANS-Used for pt who suffers from dysphagia
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b (difficulty swallowing) b
Residual volume must always be checked q4h d/t risk for aspiration *** if there is a large
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b amount of residual volume, that means pt is not digesting the food - inform MD**
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Nasogastric Tube Supplies - ANS-Nasogastric tube b b b b b
Irrigation tray - 60 ml syringe b b b b b
A bottle of sterile water
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lubricant
NGT insertion - ANS-1. Measure the tube from the nose to the back of the ear and down a
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b little pass the bottom of the xiphoid process
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2. Mark the tube (sharpie)
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3. Have the patient swallow while inserting the tube (with or without ice chips)
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NGT placement - ANS-1. Once the NGT is inserted, aspirate 30 mL of air
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,2. Place the stethoscope over the stomach and listen to the "wooooosh" sound as you
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b inject the air
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3. If necessary, get an order for x ray for proper placement.
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NGT medication administration - ANS-1. Check if pt is on any fluid restrictions
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2. Check gastric residual and put it back after.
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3. Make sure to kink the tube so that air won't go in the tube (air causes bloating)
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4. Crush medication and mix with water until diluted and poured in the syringe. [except
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b enteric coated or with granules (Protonix)]
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5. Flush 5-10 mL in between medications
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6. Flush 30 mL after all medication has been administered
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NGT removal - ANS-1. Needs a doctor's order
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2. Flush with 10 mL water/NS or 30-50 mL of air
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3. Have pt take a deep breath while removing the tube quickly
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, 7 Rules about Body mechanics - ANS--Always bend the knee and have a wide base for
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b support
-Always point your toes to the direction you're going
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-When transferring a patient to a chair or wheelchair, have them hold on to your
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b shoulders and have your dominant foot in between their legs.
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-Always count (1-2-3) out loud and tell them how to position or move
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themselves.
a. If the patient is weaker on one side, have them put their weight on the stronger side
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b before standing up. b b
b. Turn your entire body rather than pivoting to avoid hurting your back
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-When re positioning the patient, you has always make sure to avoid hurting your wrists
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-Make sure the bed is at your hip level.
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-If the patient is too heavy, ask for help.
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