A nurse is preparing to administer a bolus enteral feeding to a client who has a gastrostomy tube. Which of the following actions should the nurse take first?
Elevate the head of the bed.
Measure stomach contents.
Return gastric content into the gastrostomy tube.
Flush the tube with water
The Correct Answer is A
Elevating the head of the bed to a semi-Fowler's or high Fowler's position helps prevent aspiration during the feeding. This position facilitates proper digestion and reduces the risk of
regurgitation or reflux. It allows gravity to assist in keeping the feeding in the stomach and reduces the likelihood of complications.
The other actions mentioned are also important steps in the process but should be performed after elevating the head of the bed:
Measure stomach contents: This step is usually done before administering any enteral feeding to check for the presence of residual gastric contents. It helps determine if the client is tolerating previous feedings and guides adjustments in the feeding volume or rate if needed.
Return gastric content into the gastrostomy tube: If there is a significant amount of gastric residual, it is recommended to return the contents into the stomach before administering the feeding. This helps ensure that the client receives the full prescribed amount of the enteral feeding.
Flush the tube with water: Flushing the gastrostomy tube with water before and after the feeding helps maintain tube patency, clears any residual feeding or medication, and prevents clogging.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Omeprazole is a proton pump inhibitor (PPI) commonly prescribed to reduce stomach acid production. It is frequently used to treat conditions such as gastroesophageal reflux disease (GERD) and peptic ulcer disease. Acid indigestion, characterized by a burning sensation in the chest or upper abdomen, is a common symptom of excessive stomach acid.
While omeprazole can indirectly alleviate certain symptoms associated with excessive stomach acid, it is not typically used to directly treat or relieve symptoms such as nausea, diarrhea, or headaches. Other medications or interventions may be more suitable for managing these specific symptoms.
Correct Answer is C
Explanation
The left Sims' position (also known as the left lateral position) is the appropriate position for administering a soapsuds enema. This position allows for better visualization and access to the rectum and facilitates the flow of the enema solution.
The other options mentioned are incorrect:
Inserting the tubing about 15 cm (6 in) into the anus: The specific depth of insertion may vary depending on the client, but the general guideline is to insert the tubing about 3 to 4 inches into the rectum for an adult. 15 cm (6 in) would be excessively deep and could cause discomfort or injury.
Hanging the enema container 61 cm (24 in) above the anus: The height at which the enema container is hung should be no more than 18-24 inches (45-60 cm) above the anus. Hanging it too high can cause excessive pressure and discomfort during the administration.
Putting on sterile gloves: Sterile gloves are not typically required for the administration of a soapsuds enema. Clean gloves or non-sterile gloves are generally sufficient for this procedure.
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