A nurse is teaching a client who is receiving enteral nutrition via intermittent tube feedings. Which of the following statements by the client indicates an understanding of the teaching?
I do not need a pump to administer my feedings.
I should administer my feedings over 10 to 20 minutes.
I can administer my feedings while I sleep at night.
I should advance the rate of my feedings slowly.
The Correct Answer is D
Choice A reason: A pump is usually needed to administer intermittent tube feedings, as it can control the flow rate and volume of the formula. A pump can also prevent overfeeding, aspiration, or diarrhea.
Choice B reason: Administering feedings over 10 to 20 minutes is too fast, as it can cause abdominal cramps, nausea, vomiting, or dumping syndrome. Intermittent tube feedings should be administered over 30 to 60 minutes.
Choice C reason: Administering feedings while sleeping at night is not recommended, as it can increase the risk of aspiration, reflux, or infection. Intermittent tube feedings should be administered during waking hours and with the head of the bed elevated at least 30 degrees.
Choice D reason: Advancing the rate of feedings slowly is advisable, as it can help the body adjust to the formula and prevent intolerance or complications. The rate should be increased gradually until the desired goal is reached.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Tuna fish is a good food choice for an older adult client who has difficulty chewing due to missing teeth because it is soft, moist, and easy to swallow. Tuna fish also provides protein, omega-3 fatty acids, and vitamin D for the client.
Choice B reason: Roast beef is not a good food choice for an older adult client who has difficulty chewing due to missing teeth because it is tough, dry, and hard to chew. Roast beef can cause pain, fatigue, or choking for the client who has missing teeth. Roast beef should be avoided or cut into very small pieces and moistened with gravy or sauce before consuming.
Choice C reason: Apple slices are not a good food choice for an older adult client who has difficulty chewing due to missing teeth because they are crisp, firm, and sticky. Apple slices can cause irritation or injury to the gums or mouth or dislodge any remaining teeth. Apple slices should be avoided or cooked until soft and mashed before consuming.
Choice D reason: Dried fruit is not a good food choice for an older adult client who has difficulty chewing due to missing teeth because they are chewy, sticky, and sugary. Dried fruit can adhere to the gums or teeth and cause dental caries or gum disease. Dried fruit should be avoided or soaked in water until soft and cut into small pieces before consuming.
Correct Answer is C
Explanation
Choice A reason: Including a high-fat food with each meal is not a good strategy for managing chronic nausea during pregnancy because it can delay gastric emptying and worsen nausea and vomiting. High-fat foods should be avoided or consumed in moderation during pregnancy.
Choice B reason: Drinking 12 ounces of water with breakfast is not a good strategy for managing chronic nausea during pregnancy because it can dilute stomach acid and trigger nausea and vomiting. Water should be consumed between meals rather than with meals during pregnancy.
Choice C reason: Eating a high-carbohydrate diet is a good strategy for managing chronic nausea during pregnancy because it can provide quick energy and prevent hypoglycemia, which can cause nausea and vomiting. Carbohydrate-rich foods, such as crackers, toast, rice, and cereal, can also absorb stomach acid and reduce nausea and vomiting.
Choice D reason: Lying down for an hour after eating is not a good strategy for managing chronic nausea during pregnancy because it can cause acid reflux and worsen nausea and vomiting. It is better to sit upright or walk for a few minutes after eating during pregnancy.
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