A nurse is caring for a patient receiving enteral nutrition via a gastrostomy tube. Which actions should the nurse take to prevent complications associated with enteral feeding?
(Select All that Apply.)

Use sterile water to flush the tube before and after feeding.

Lower the head of the bed to 15 degrees to facilitate feeding.

Change the feeding bag and tubing every 24 hours.

Check for residual volume before each feeding

Add crushed medications to the enteral formula for convenience.

Administer the feeding in a continuous cycle over 24 hours.

Answer and Explanation

Correct Answer : C,D

A.   Using sterile water is recommended for flushing the tube before and after feeding, but it is not the most critical step in preventing complications.
B.   Lowering the head of the bed to 15 degrees during feeding may increase the risk of aspiration, as a higher elevation is typically recommended.
C.   Changing the feeding bag and tubing every 24 hours helps prevent bacterial contamination and reduces the risk of infection.
D.   Checking for residual volume before each feeding helps ensure that the stomach is empty, reducing the risk of aspiration.
E.   Adding crushed medications to the enteral formula is not recommended, as it can alter the formula's absorption and cause clogging of the tube.
F.   Administering the feeding in a continuous cycle over 24 hours is typically done for certain patients, but it is not essential to prevent complications in all cases.

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Correct Answer is ["B","E","F","G"]

Explanation

A. A high-fiber and spicy diet could irritate the stomach lining, worsening acute gastritis.
B. Administering antacids can help neutralize stomach acid and relieve discomfort associated with gastritis.
C. Rigorous exercise is not recommended during an acute gastritis flare-up, as it could exacerbate symptoms.
D. Drinking milk is a common myth that milk can soothe gastritis; however, milk can stimulate acid production, which might worsen symptoms.
E. Pain should be assessed regularly, and analgesics should be administered as prescribed. NSAIDs should be avoided, as they can worsen gastritis.
F. Avoiding caffeine, alcohol, and smoking is crucial, as they can irritate the stomach lining and worsen symptoms of gastritis.
G. Monitoring for signs of gastrointestinal bleeding, such as hematemesis or melena, is important as acute gastritis can lead to bleeding.

A. MRI of the wrist B. Electromyography (EMG) and nerve conduction studies C. Ultrasound of the wrist D. X-ray of the wrist

Correct Answer is B

Explanation

A. MRI of the wrist can help rule out other conditions, but it is not the most specific test for diagnosing carpal tunnel syndrome.
B. Electromyography (EMG) and nerve conduction studies are the gold standard for diagnosing carpal tunnel syndrome. These tests measure the electrical activity of the muscles and the speed of nerve impulses to confirm nerve compression.

C. Ultrasound of the wrist may be helpful in visualizing the median nerve but is not as definitive as EMG and nerve conduction studies.
D. X-ray of the wrist would not be useful in diagnosing carpal tunnel syndrome as it does not show soft tissue or nerve involvement.

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A nurse is caring for a patient receiving enteral nutrition via a gastrostomy tube. Which actions should the nurse take to prevent complications associated with enteral feeding? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is diagnosed with acute gastritis. Which of the following interventions and assessments should the nurse consider to effectively manage this condition? (Select All that Apply.)

Correct Answer is ["B","E","F","G"]

Explanation

A 38-year-old construction worker reports hand weakness and difficulty gripping tools. Examination reveals atrophy of the thenar eminence and decreased sensation in the thumb, index, and middle fingers. What diagnostic test would most likely confirm the diagnosis of carpal tunnel syndrome?

Correct Answer is B

Explanation

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A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following information should the nurse include in the teaching?

A nurse is assessing a patient diagnosed with peptic ulcer disease. Which findings would support this diagnosis? (Select All that Apply.)

A nurse is caring for a patient receiving enteral nutrition via a gastrostomy tube. Which actions should the nurse take to prevent complications associated with enteral feeding?
(Select All that Apply.)