A nurse is reinforcing teaching with a family member about how to position a client when administering enteral feedings at home. Which of the following statements from the family member should the nurse identify as an indication that he understands the instructions?
"I will allow the position my mother finds most comfortable during the feeding."
"I will turn my mother on her left side during the feeding."
"I will position the head of the bed 45 degrees during the feeding."
"I will elevate the head of the bed 10 degrees during the feeding."
The Correct Answer is C
A. "I will allow the position my mother finds most comfortable during the feeding."
This statement does not provide specific guidance on the proper positioning for enteral feedings. It's important to follow recommended positions to prevent complications.
B. "I will turn my mother on her left side during the feeding."
Turning the client on the left side is not a recommended position for enteral feedings. The head of the bed is usually elevated to 30-45 degrees to prevent aspiration.
C. "I will position the head of the bed 45 degrees during the feeding."
This is the correct choice. Elevating the head of the bed to 45 degrees helps prevent aspiration and facilitates proper flow of enteral feedings into the stomach.
D. "I will elevate the head of the bed 10 degrees during the feeding."
While some elevation is better than lying flat, the recommended angle is usually 30-45 degrees to minimize the risk of regurgitation and aspiration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Vitamin A:
Solubility: Fat-soluble, not water-soluble.
Explanation: Vitamin A is a fat-soluble vitamin.
B. Vitamin C:
Solubility: Water-soluble.
Explanation: Vitamin C is water-soluble and plays a crucial role in collagen synthesis, immune function, and antioxidant activity.
C. Vitamin E:
Solubility: Fat-soluble, not water-soluble.
Explanation: Vitamin E is a fat-soluble vitamin with antioxidant properties.
D. Vitamin D:
Solubility: Fat-soluble, not water-soluble.
Explanation: Vitamin D is a fat-soluble vitamin that plays a key role in calcium absorption and bone health.
Correct Answer is A
Explanation
A. Proteinuria:
Minimal change nephrotic syndrome is characterized by increased permeability of the glomerular filtration barrier, leading to proteinuria. The loss of proteins, especially albumin, in the urine is a key feature.
B. Hypocalcemia:
Hypocalcemia is not typically associated with MCNS. In fact, the loss of proteins, including albumin, in the urine can lead to decreased oncotic pressure in the blood vessels, resulting in edema. However, calcium levels are usually within the normal range.
C. Hyperalbuminemia:
This is not a characteristic finding in minimal change nephrotic syndrome. In fact, the condition is associated with hypoalbuminemia due to the loss of albumin in the urine.
D. Positive for Ketones:
Ketones are not typically associated with minimal change nephrotic syndrome. Ketones in the urine are more commonly associated with conditions like diabetic ketoacidosis or starvation.
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