A nurse is providing care for a patient in a long-term care facility who is receiving enteral feedings via a nasogastric (NG) tube.
What action should the nurse take before administering the tube feeding?
Discard any residual gastric contents.
Position the patient in a low Fowler’s position.
Test the pH of the gastric aspirate.
Warm the feeding solution to body temperature.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A purplish-colored stoma may indicate compromised circulation, which is a serious condition that requires immediate medical attention18.
Choice B rationale
A rosebud-like stoma orifice is a normal finding and does not need to be reported18.
Choice C rationale
A stoma oozing red drainage is a normal finding immediately after surgery and does not need to be reported18.
Choice D rationale
A shiny, moist stoma is a normal finding and does not need to be reported18.
Correct Answer is ["35"]
Explanation
Step 1 is: To find out how many mL/hr the nurse should set the infusion pump to deliver, we need to divide the total volume of enteral nutrition (840 mL) by the total time (24 hours).
So, the calculation is: 840 mL ÷ 24 hours = 35 mL/hr Therefore, the nurse should set the infusion pump to deliver 35 mL/hr.
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