A nurse is preparing to administer an intermittent enteral feeding through a small-bore NG tube. Which of the following actions should the nurse take before initiating the feeding?
Flush the tube with 5 mL of water.
Test the pH of fluid aspirated from the tube.
Inject air through the tubing and auscultate for gurgling sounds:
Change the bag and tubing system every 12 hr
The Correct Answer is B
A. Flush the tube with 5 mL of water:
Explanation: Flushing the tube with water is a routine practice before and after administering medications or feedings to maintain tube patency. However, it is not the primary action to confirm tube placement.
B. Test the pH of fluid aspirated from the tube (Correct Answer):
Explanation: Testing the pH of aspirated fluid helps confirm that the tube is in the stomach. A pH between 1 and 5 is generally indicative of gastric placement.
C. Inject air through the tubing and auscultate for gurgling sounds:
Explanation: This method is an older practice and is not recommended as a reliable method for verifying tube placement. Testing the pH is a more accurate and preferred method.
D. Change the bag and tubing system every 12 hr:
Explanation: Changing the bag and tubing system every 12 hours is a routine practice to maintain the integrity of the enteral feeding system. However, it is not specifically related to the initial steps in verifying tube placement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Informed consent:
While informed consent may include information about the surgical procedure and potential risks, it typically does not address organ donation. Organ donation is usually a separate decision and may be documented in advance directives.
B. Do-not-resuscitate order:
A do-not-resuscitate (DNR) order specifies the client's wishes regarding resuscitation in the event of cardiac or respiratory arrest but does not contain information about organ donation.
C. Advance directives.
Advance directives are legal documents that outline a person's preferences for medical treatment in the event they become unable to communicate or make decisions for themselves. Within advance directives, individuals may express their wishes regarding organ donation. It's common for individuals to specify their desire to be an organ donor in these documents.
D. Provider's prescription:
A provider's prescription is a medical order for a specific treatment or medication. It does not typically contain information about organ donation, which is a personal decision made by the individual and documented in advance directives.
Correct Answer is ["2.1"]
Explanation
To calculate the total daily dose of tobramycin, we use the formula:
- Total Daily Dose (mg) = Dose (mg/kg/day) × Weight (kg)
- Total Daily Dose (mg)=Dose (mg/kg/day)×Weight (kg)
In this case:
- Total Daily Dose=3 mg/kg/day × 85 kg
- Total Daily Dose=255mg/day
Since the total daily dose is divided into three doses, the nurse should administer:
- Dose per Administration =Total Daily Dose/Number of Doses per Day
- Dose per Administration = 255 mg/3
- Dose per Administration≈85mg
Now, to calculate the volume (mL) to administer, we use the concentration of the available tobramycin solution:
- Volume (mL)=Dose per Administration (mg)/Concentration (mg/mL)
In this case:
- Volume=85mg/40mg/mL
- Volume≈2.1mL
Therefore, the nurse should administer approximately 2.1 mL of tobramycin per dose, rounded to the nearest tenth.
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