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A nurse is caring for a patient who had a gastric bypass procedure 2 days ago. A physician has ordered a gastric tube to be placed due to increased abdominal distention. The nurse realizes that this procedure will most likely need to be done
Suggested Answer: D
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In patients with head injuries, increased muscle tone and contractured positioning (such as decorticate or decerebrate posturing) are signs of significant neurological impairment. It is essential to manage these symptoms to prevent further complications. Consulting a physical therapist is the best course of action to ensure appropriate positioning, prevent contractures, and manage spasticity effectively. Reference: = CCRN Exam Handbook and AACN's Certification Review Course materials.
30 comments · newest first
TA
Tammara
10 months ago
Two nurses? That seems excessive for this procedure.
SE
Sena
10 months ago
Wait, are we sure it’s not done with ultrasound?
TA
Tammara
10 months ago
I thought guide wires were only for certain cases, not this one!
AL
Aliza
10 months ago
Totally agree, fluoroscopy makes sense here.
ET
Ettie
11 months ago
I think it’s usually done under fluoroscopy.
RO
Rosamond
11 months ago
Using a guide wire sounds familiar, but I don't think that's the standard for gastric tube placement. I might need to double-check that.
RA
Rashad
11 months ago
I'm a bit confused about whether two nurses are required for this procedure. I feel like I read that somewhere, but it might have been about something else.
GA
Galen
11 months ago
I think I practiced a question similar to this, and I recall that fluoroscopy is often used for placement to ensure accuracy.
BO
Bok
12 months ago
I remember something about gastric tubes being placed under imaging guidance, but I'm not sure if it's always fluoroscopy.
ME
Merissa
12 months ago
Wait, is the question asking about how the procedure should be performed, or who should perform it? I'm a little confused on the focus here. I'll need to read through it again carefully.
DO
Dominque
12 months ago
Okay, I've got this. Based on the patient's condition and the physician's order, the tube placement will likely need to be done under fluoroscopic guidance to ensure proper positioning. That's the best way to avoid complications in a post-bypass patient.
AI
Aide
1 year ago
Hmm, I'm a bit unsure about this one. I know fluoroscopy is used for certain procedures, but I'm not sure if that's the right approach for a gastric tube placement. I'll have to review my notes on post-operative care.
CH
Charlena
1 year ago
This seems like a straightforward question about the appropriate technique for placing a gastric tube in a post-operative patient. I'll need to think through the key considerations here.
FE
Felicidad
1 year ago
The answer is definitely D. Using a guide wire is the standard technique for this type of procedure. Gotta love those multiple-choice exams!
LO
Lourdes
1 year ago
I heard they're also considering sending in a pit crew to change the patient's tires while they're at it. Option B is clearly the pit stop solution.
DE
Delmy
1 year ago
Two nurses? Really? This isn't brain surgery, it's a gastric tube. Option B seems a bit excessive.
DO
Dorethea
1 year ago
A: Definitely, it's a common procedure for placing gastric tubes.
PA
Paulina
1 year ago
B: Yeah, that makes sense. It helps guide the tube into the right place.
NA
Nana
1 year ago
A: It's probably done under fluoroscopy.
LA
Laurene
1 year ago
Under fluoroscopy? That's overkill for a routine procedure like this. I'd go with option C - ultrasound is the way to go.
IS
Isabelle
1 year ago
Two nurses might be needed for safety reasons when placing the gastric tube.
RI
Ria
1 year ago
I've seen gastric tubes placed under fluoroscopy before, it's not uncommon.
FR
Francoise
1 year ago
I think using a guide wire might be helpful in this situation.
AR
Arlie
1 year ago
I agree, ultrasound is a less invasive option.
MA
Marget
1 year ago
Hmm, the gastric tube placement seems tricky. I think option D with a guide wire is the way to go. Sounds like the safest approach.
JU
Judy
1 year ago
I think so too, it's important to ensure the procedure is done safely and effectively.
LA
Lai
1 year ago
I agree, using a guide wire would definitely help with accuracy.
RE
Reyes
2 years ago
I'm not sure, but I think it's important to have accurate placement of the gastric tube.
AR
Arlette
2 years ago
I agree with Quentin, because it allows for real-time visualization.
QU
Quentin
2 years ago
I think the answer is A) under fluoroscopy.