A nurse is preparing to administer an enteral feeding to a patient with a gastrostomy tube. Before starting the feeding, which of the following actions should the nurse take to ensure patient safety?

Administer the feeding solution directly from the refrigerator.

Flush the tube with 10 mL of cold water

Position the patient supine at 30 degrees.

Verify the pH of gastric aspirate is less than 5.0.

Answer and Explanation

The Correct Answer is D

A.   Administering feeding solution directly from the refrigerator can cause discomfort to the patient and increase the risk of gastric upset.
B.   Flushing the tube with cold water is not appropriate, as it may irritate the stomach and cause discomfort.
C.   Positioning the patient supine at 30 degrees is unsafe, as it increases the risk of aspiration. The patient should be at a higher angle, typically 30-45 degrees.
D.   Verifying the pH of gastric aspirate is crucial to ensure the feeding tube is in the correct position and to prevent aspiration of feeding material into the lungs.

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Correct Answer is D

Explanation

A. Applying soft restraints during a seizure could increase the risk of injury and is not recommended.
B. Administering lorazepam is often necessary in seizures, but the priority during a seizure is ensuring the airway is open and the patient is in a safe position.
C. Obtaining a seizure history is important but should be done after managing the acute situation.
D. The priority during a seizure is to ensure the patient's airway is open and to position them on their side to prevent aspiration and facilitate breathing.

A. Loss of urine during laughing or sneezing B. Constant dribbling of urine despite frequent urination C. Frequent urination at night with a strong urge D. Sudden and intense urge to urinate followed by loss of urine

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

Explanation

A. Loss of urine during laughing or sneezing is typically associated with stress incontinence, not overflow or functional incontinence.
B. Constant dribbling of urine despite frequent urination is a hallmark of overflow incontinence, often caused by an underactive bladder or obstruction.
C. Frequent urination at night with a strong urge is more characteristic of urge incontinence.
D. Sudden and intense urge to urinate followed by loss of urine is also indicative of urge incontinence.
E. Inability to access the toilet in time due to physical limitations, such as arthritis, is common in functional incontinence, where the person is unable to reach the bathroom in time despite normal bladder function.

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A nurse is preparing to administer an enteral feeding to a patient with a gastrostomy tube. Before starting the feeding, which of the following actions should the nurse take to ensure patient safety?

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Naxlex Comprehensive Predictor Exams

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Explanation

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

Explanation

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