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    Med surg proctored exam (care of gastric patient)

    The goal of inserting a nasogastric tube to relieve abdominal distention and remove secretions from the gastrointestinal tract is:

    Explanation & Rationale

    Nasogastric intubation involves the insertion of a flexible tube through the nares into the stomach for diagnostic or therapeutic purposes. It is commonly used in patients with mechanical bowel obstructions or paralytic ileus to manage gastrointestinal distress. The procedure effectively removes accumulated gas and fluids, preventing vomiting and reducing the risk of aspiration. A. decompression.: This process involves the removal of air and physiological secretions from the stomach to reduce intraluminal pressure. By emptying the stomach contents, decompression alleviates pain, nausea, and abdominal distention. It allows the bowel to rest and recover its normal peristaltic function. B. lavage.: This technique involves the active washing out of the stomach, usually to remove ingested toxins or to irrigate the lining during a hemorrhage. It involves the instillation and aspiration of fluids rather than the passive or continuous removal of gas and secretions. It is a specific, acute intervention. C. gavage.: This refers to the administration of liquid nourishment, fluids, or medications directly into the stomach via the nasogastric tube. It is a form of enteral nutrition used for patients who cannot maintain oral intake. It is the opposite of removing secretions from the tract. D. compression.: In a gastrointestinal context, this typically involves the use of an internal balloon, such as a Sengstaken-Blakemore tube, to apply pressure to esophageal varices. It is used to tamponade active bleeding rather than to relieve distention or remove fluid. It is an emergency hemodynamic measure.

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