AIIMS Raipur NO - 2019 (Shift-2)
Medical & Surgical Nursing
Easy
A feeding tube placed directly into the stomach through an artificial opening on the abdominal wall is called?
Appeared in: AIIMS Raipur NO - 2019 (Shift-2)
Explanation
- The question describes a tube placed through an artificial opening on the abdominal wall directly into the stomach.
- This accurately defines a Gastrostomy tube (G-tube).
- Gastrostomy is the creation of a stoma (opening) from the abdominal wall into the stomach.
- This route is chosen for patients who require long-term nutritional support (typically more than 4 weeks) and have a functional gastrointestinal tract.
Why Other Options Were Wrong
- Option A: A nasogastric (NG) tube is inserted through the nose and passed down the esophagus into the stomach. It does not involve an opening in the abdominal wall.
- Option B: A nasoduodenal (ND) tube is inserted through the nose, passes through the stomach, and terminates in the duodenum (the first part of the small intestine).
- Option D: A jejunostomy (J-tube) is placed through the abdominal wall, but it goes directly into the jejunum (the second part of the small intestine), bypassing the stomach entirely.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Types and Indications for Enteral Feeding Tubes as background academic context rather than a clinical decision trigger.
- Understanding the different types of enteral feeding tubes is crucial for nurses to provide safe care, including correct administration of feeds, medication management, and monitoring for specific complications associated with each tube type.
- The choice of tube directly impacts patient safety. For example, administering a bolus feed into a jejunostomy tube can cause dumping syndrome, while a gastrostomy tube is contraindicated in a patient with no stomach function.
- What if? If a patient has had a total gastrectomy (removal of the stomach) but still requires long-term enteral feeding, a jejunostomy tube would be the appropriate choice, as it delivers nutrients directly to the small intestine.
How to Approach the Question
- First, break down the key terms in the question: 'placed directly into the stomach' and 'through an artificial opening on the abdominal wall'.
- Analyze the prefix of each option. 'Naso-' refers to the nose, while 'Gastro-' refers to the stomach and 'Jejuno-' refers to the jejunum. '-stomy' refers to a surgically created opening.
- Evaluate Option A (Nasogastric) and B (Nasoduodenal). The prefix 'Naso-' indicates insertion through the nose, which contradicts the 'abdominal wall' part of the question. Eliminate these options.
- Evaluate Option C (Gastrostomy). 'Gastro-' means stomach and '-stomy' means opening. This matches 'opening...into the stomach'. This is a strong candidate.
- Evaluate Option D (Jejunostomy). 'Jejuno-' means jejunum. This tube goes into the jejunum, not the stomach. Eliminate this option.
- Conclude that Gastrostomy tube is the only option that correctly describes a tube placed through the abdominal wall into the stomach.
Concept Tested & Keywords
- Concept Tested: Types and Indications for Enteral Feeding Tubes
- Stem keywords: feeding tube, stomach, artificial opening, abdominal wall
- Lead-in keywords: is called
Question ID
Qd4B_u6E-4f25cKvZppPiV
Reference Book
E6 Nursing Brunner Adult Health 3SA Vol 1 Part 2 pp. 100-102, 89-91
E6 Medicine Davidson Principles Practice 24e p. 727-729
Practise the full AIIMS Raipur NO - 2019 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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