A nurse is caring for a client who is receiving enteral feedings via NG tube. Which of the following actions should the nurse take prior to administering the formula?

Check for gastric residual volume.

Flush the tube with sterile 0.9% sodium chloride irrigation.

Encourage the client to take sips of water.

Encourage the client to breathe deeply and cough.

Answer and Explanation

The Correct Answer is A

A. Before administering enteral feeding, it is important to check the gastric residual volume to ensure that the previous feeding has been adequately digested and to reduce the risk of aspiration. High residual volumes can indicate delayed gastric emptying and may require holding the feeding.

B. While it is important to flush the tube, this is typically done with water (sterile or tap) rather than sterile 0.9% sodium chloride, unless specifically ordered for medical reasons. The primary step before feeding is to check the residual volume.

C. Encouraging the client to take sips of water is not applicable in the context of enteral feeding via NG tube, as the feeding is delivered directly into the stomach or intestines.

D. Encouraging deep breathing and coughing is not relevant to the administration of enteral feedings via an NG tube. These actions are more related to respiratory care.

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Correct Answer is D

Explanation

A. "I will put some lubricant on the flat end of the suppository.": It is generally not necessary to use lubricant on the suppository. If lubrication is needed, it should be applied sparingly to the rounded end, not the flat end.

B. "I will lie on my left side to insert the suppository.": The recommended position for inserting a vaginal suppository is usually lying on your back with your knees bent or standing with one foot elevated, not lying on the left side.

C. “I can discontinue the medications once my symptoms are gone.": This is incorrect. It is important to complete the full course of medication to ensure the infection is fully treated, even if symptoms improve before finishing the medication.

D. "I will place the suppository as far inside my vagina as I can reach.”: This statement is correct. The suppository should be inserted high into the vagina to ensure it is placed correctly and will dissolve properly to treat the infection.

A. I will go barefoot just in the house B. I can use a heating pad when my feet are cold. C. I can apply lotion to my feet but avoid the area between my toes D. I will use a pumice stone to soften calluses on my feet

Correct Answer is C

Explanation

This statement shows that the client knows how to prevent dryness and cracking of the skin on the feet, which can lead to infection, while also avoiding excessive moisture between the toes, which can promote fungal growth.

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A nurse is caring for a client who is receiving enteral feedings via NG tube. Which of the following actions should the nurse take prior to administering the formula?

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