A nurse is inserting a catheter into a female patient. When the nurse inserts the catheter, no urine is obtained. The nurse suspects the catheter is not in the urethra.
What should the nurse do?

Choice A rationale

Discarding any residual gastric contents before administering the tube feeding is not necessary and could lead to unnecessary loss of nutrients and electrolytes.

Choice B rationale

Positioning the patient in a low Fowler’s position is not the optimal position for administering a tube feeding. The patient should be in an upright position to reduce the risk of aspiration.

Choice C rationale

Testing the pH of the gastric aspirate is an important step before administering a tube feeding. This helps to verify that the feeding tube is in the stomach and not in the lungs.

Choice D rationale

Warming the feeding solution to body temperature is not necessary and could potentially lead to bacterial growth in the feeding solution.

The correct answer is choicea. Increase daily caloric intake by 300 to 400 calories,b. Consume folic acid supplements daily, andd. Take daily iron and calcium supplements.

Choice A rationale:

Pregnant teenagers need to increase their daily caloric intake by 300 to 400 calories to support the growth and development of the fetus.

Choice B rationale:

Folic acid is crucial for preventing neural tube defects in the developing fetus.Daily supplementation is recommended.

Choice C rationale:

Pregnant teenagers need to increase their protein intake to support fetal growth and maternal health.Maintaining current protein intake is not sufficient.

Choice D rationale:

Iron and calcium are essential for the development of the fetus and the health of the mother.Daily supplementation helps prevent deficiencies.

Choice E rationale:

Limiting weight gain to no more than 15 pounds is not recommended.Healthy weight gain during pregnancy varies but is generally higher than 15 pounds to support fetal development.