A nurse is providing teaching about the administration of gastrostomy tube feedings to the parents of an infant. Which of the following instructions should the nurse include?
Provide a pacifier for nonnutritive sucking.
Warm the formula in the microwave prior to administration.
Change the gastrostomy tube every 3 days.
Place the infant in a supine position after the feeding.
The Correct Answer is A
Rationale:
A. Provide a pacifier for nonnutritive sucking: Offering a pacifier promotes nonnutritive sucking, which supports oral motor development and provides comfort for the infant during gastrostomy tube feedings. This practice can help the infant transition more easily to oral feeding later.
B. Warm the formula in the microwave prior to administration: Warming formula in the microwave is unsafe because it can create hot spots that may burn the infant’s mouth or esophagus. Formula should be warmed using a bottle warmer or by placing the container in warm water.
C. Change the gastrostomy tube every 3 days: Routine gastrostomy tube replacement every 3 days is unnecessary and can cause trauma. Tubes are generally changed according to manufacturer recommendations or when malfunction or blockage occurs.
D. Place the infant in a supine position after the feeding: Infants should be kept in an upright or semi-upright position during and after feedings to reduce the risk of aspiration. Supine positioning increases the likelihood of reflux and respiratory complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. White blood cell count 8,000/mm³ (5,000 to 10,000/mm³): A normal white blood cell count indicates that the body is not currently mounting an inflammatory or infectious response. This finding does not place the client at risk for developing a wound infection.
B. Temperature 36.8° C (98° F): A normal temperature suggests that the client is afebrile and not showing signs of infection or systemic inflammation. This finding reflects stable postoperative recovery and is not a risk factor for infection.
C. Body mass index of 32: Obesity increases the risk for surgical wound infection because excess adipose tissue has poor blood supply, impairing oxygen and nutrient delivery needed for wound healing. Additionally, increased tension on the incision site can lead to dehiscence and bacterial colonization.
D. Blood glucose 90 mg/dL (74 to 106 mg/dL): A normal blood glucose level supports effective immune function and normal wound healing. Hyperglycemia, not euglycemia, would predispose the client to infection by impairing leukocyte function.
Correct Answer is C
Explanation
Rationale:
A. Ensure each individual can respond defensively about the conflict: Encouraging defensive responses escalates tension and does not promote resolution. The goal is to facilitate understanding and collaboration, not defensiveness.
B. Use passive listening techniques during conflict resolution: Passive listening may miss key information and prevent the manager from fully understanding the concerns. Active and empathetic listening is necessary to address the conflict effectively.
C. Gather individual information regarding the conflict: Collecting perspectives from each person involved helps the nurse manager understand the root causes, identify common themes, and develop an appropriate strategy for resolution. This is a critical step in structured conflict management.
D. Ask closed-ended questions about the conflict: Closed-ended questions limit responses and do not allow individuals to fully express their concerns or feelings. Open-ended questions are more effective for exploring issues in depth.
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