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GI NCLEX Review

AB
LEVIN-TYPE NGTHOB 30-45 degrees with client in the right lateral position for 60 minutes
RATIONALE FOR CHECKING RESIDUAL PRIOR TO GIVING TUBE FEEDINGto evaluate absorption of the last feeding
PLAN OF CARE PRIORITY FOR UPPER GI BLEEDdetermine vital signs
CHOLANGIOGRAMoutlines both the gallbladder and ducts to see if gallstones have moved into the ductal system
SIGN OF PARALYTIC ILEUSinability to pass flatus
MOUTH CARE TO MAINTAIN INTEGRITY OF ORAL MUCOSAbrush teeth and use mouthwash and water
HOW TO DETERMINE IF IT'S APPROPRIATE TO D/C AN NGTpresence of bowel sounds in all 4 quads
WHAT TO DO IF A CLEANSING ENEMA CAUSES CRAMPSstop for 30 seconds; restart at slower rate
POSITION FOR CLEANSING ENEMAleft lateral with right leg flexed
WHAT TO DO WITH NG ASPIRATEpour into NGT through a syringe with plunger removed


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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