A nurse is teaching a client about advance directives.
Which of the following statements by the client indicates an understanding of the teaching?

"A living will is a document that includes my wishes about health care decisions."

"Advance directives outline who inherits my material possessions in the event of my death."

"My partner needs to be present as a witness when I sign a living will."

"My provider will make my health care decisions if I complete advance directives." .

Answer and Explanation

The Correct Answer is A

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Correct Answer is A

Explanation

A. Maintain bed elevation at 20 degrees. B. Flush the tubing with 30 mL of water every 4 hr. C. Check for gastric residual every 12 hr. D. Place enough formula in the container to last 18 hr.

Correct Answer is B

Explanation

The correct answer is Choice B.

Choice A rationale: Maintaining bed elevation at 20 degrees is not recommended. The recommended bed elevation for patients receiving enteral tube feedings is at least 30 to 45 degrees.This is to prevent aspiration of the feeding solution into the lungs.

Choice B rationale: Flushing the tubing with 30 mL of water every 4 hours is a recommended practice.This helps to maintain the patency of the feeding tube and prevent clogging.

Choice C rationale: Checking for gastric residual every 12 hours is not sufficient.For patients receiving continuous tube feedings, gastric residual volume (GRV) should be monitored every 4 hours.This helps to assess tolerance to the feeding and prevent complications such as aspiration.

Choice D rationale: Placing enough formula in the container to last 18 hours is not recommended.For an open system, the formula should be replaced every 4 hours to prevent bacterial growth.

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A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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A nurse is teaching a client about advance directives.
Which of the following statements by the client indicates an understanding of the teaching?