Choice A rationale
Before starting an enteral feeding using a newly inserted nasogastric feeding tube, it is crucial to review abdominal x-ray results to confirm the correct placement of the tube.
Choice B rationale

While reviewing chest x-ray results can provide useful information about the patient’s overall health, it is not specifically required before starting an enteral feeding.
Choice C rationale
Flushing the feeding tube is an important step in maintaining tube patency, but it does not need to be done specifically before starting an enteral feeding.
Choice D rationale
Auscultating bowel sounds can provide information about gastrointestinal function, but it is not specifically required before starting an enteral feeding.

Choice A rationale

Administering appropriate antibiotic therapy is a common nursing intervention to manage H. pylori infection. The recommended treatment for H. pylori typically involves using a triple-

drug therapy regimen, including a proton pump inhibitor or PPI like omeprazole, and two antibiotics, which include clarithromycin plus either metronidazole or amoxicillin. This treatment helps eradicate the bacterial infection through different mechanisms of action.

Choice B rationale

While maintaining a high-fiber diet is generally beneficial for overall health, it is not specifically related to the management of H. pylori infection. The primary treatment for H. pylori is antibiotic therapy, not dietary changes.

Choice C rationale

Over-the-counter antacids can help to neutralize stomach acid and provide temporary relief from symptoms, but they do not treat the underlying H. pylori infection. Therefore, while they may be used as part of symptom management, they are not a primary treatment strategy.

Choice D rationale

Assisting the patient with proper hand hygiene is always important in healthcare settings to prevent the spread of infections. However, it is not specifically related to the management of H. pylori infection. The bacteria are typically contracted during childhood, and the exact modes of transmission are not fully understood.