A nurse is preparing to administer an enteral feeding via nasogastric tube. Identify the correct sequence the nurse should follow to initiate the feeding. (Move the steps, placing them in the selected order of performance. All steps must be used.)
Verify tube placement
Check the residual feeding contents
Evaluate tolerance of feeding
Administer the feeding
The Correct Answer is A,B,D,C
A. Verify tube placement: This is the first step to ensure that the tube is in the correct position and not in the lungs, which could lead to aspiration.
B. Check the residual feeding contents: This helps to assess gastric emptying and ensure that the stomach can tolerate the feeding. If there is a large amount of residual, the feeding may be delayed or the rate may need to be adjusted.
D. Administer the feeding: Once tube placement is confirmed and residual contents are assessed, the feeding can be administered at the prescribed rate.
C. Evaluate tolerance of feeding: After the feeding is complete, it's important to monitor the client for signs of tolerance, such as the absence of nausea, vomiting, or abdominal distension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This vitamin is water-soluble, not fat-soluble. It is important for immune function, collagen synthesis, and antioxidant protection. Since it is water-soluble, it does not require fat for absorption and is not typically included in fat-soluble vitamin supplements.
B. This vitamin is fat-soluble, meaning it requires fat for absorption. In conditions like acute pancreatitis, where fat absorption may be impaired, supplementation with vitamin A might be necessary to ensure adequate levels. Vitamin A is crucial for vision, immune function, and skin health.
C. This is a water-soluble vitamin involved in carbohydrate metabolism and nervous system function. It does not require fat for absorption and is not typically supplemented in cases of impaired fat absorption. It is important but not related to the fat-soluble vitamin needs in pancreatitis.
D. This is also a water-soluble vitamin necessary for red blood cell formation and neurological function. Although it can be affected in conditions of poor absorption, it is not a fat-soluble vitamin. It requires intrinsic factor for absorption in the intestines but does not relate to fat-soluble vitamin supplementation.
Correct Answer is B
Explanation
A. While iron is crucial for overall health, its primary role in infants is not specifically related to vision development. Iron is essential for many bodily functions, including oxygen transport and brain development, but the statement about vision development is not directly relevant to the primary reasons for iron supplementation in infants.
B. This is a key point to include in the teaching. Iron stores that infants are born with start to deplete around 4-6 months of age. This is why iron-fortified formula or iron-rich complementary foods are recommended to prevent iron deficiency anemia, as breast milk alone may not provide sufficient iron after this period.
C. Iron is important for overall growth and development, including the development of red blood cells and cognitive functions. However, the specific facilitation of bone growth is more directly related to other nutrients like calcium and vitamin D.
D. Iron absorption can be a concern, but this statement is not entirely accurate. Iron in formula is typically well-absorbed, especially in iron-fortified formulas designed for infants. The goal of providing iron-fortified formula is to ensure that the infant receives an adequate amount of iron, which is absorbed effectively to support their growing needs.
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