A nurse is teaching a client who has a new prescription for ciprofloxacin to treat an uncomplicated UTI. Which of the following instructions should the nurse include?

A. The supine position increases the risk of aspiration, where food or liquid could enter the airway and potentially cause aspiration pneumonia. To minimize this risk, the client should be positioned in a semi- Fowler’s position (head of the bed elevated at 30-45 degrees) during feedings.
B. Aspirating gastric residual volumes is a standard practice to check for proper digestion and tolerance of the feeding. Generally, a residual of up to 250-500 mL can be acceptable depending on institutional policy and client condition. This action does not necessarily require intervention unless specific guidelines indicate otherwise.
C. Irrigating the NG tube with tap water is a common practice to ensure the tube remains patent and to help clear any residual feeding material from the tube. Tap water is generally considered acceptable for this purpose, though some facilities may use sterile or distilled water to avoid any potential infections.
D. Administering the feeding through a syringe barrel by gravity is a standard method for intermittent tube feedings. This technique allows the feeding to flow slowly into the stomach without excessive pressure, which can help prevent complications such as nausea or cramping.

A. This vitamin is essential for wound healing. It plays a critical role in cellular immune responses, skin integrity, and the repair of epithelial tissues. Vitamin A helps in the formation of new skin cells and promotes collagen synthesis, which is vital for wound healing.
B. While vitamin D is crucial for bone health and calcium absorption, its direct role in wound healing is less pronounced compared to other nutrients. Vitamin D supports overall immune function, which can indirectly support the healing process, but it is not as directly involved in wound repair as vitamin A or other specific nutrients.
C. Vitamin B1 is important for carbohydrate metabolism and nerve function, but its direct role in wound healing is minimal compared to other vitamins. While essential for overall health, vitamin B1 does not specifically target wound healing processes.
D. Calcium is crucial for bone health and muscle function. It plays a role in blood clotting and can support overall health, but its direct impact on wound healing is less significant compared to nutrients like vitamin A and vitamin C.