The nurse is preparing to administer a formula feeding by nasogastric tube (NGT) to a 2-month-old. Which intervention should the nurse implement?
Hold the infant with head and shoulders slightly elevated.
Use the syringe plunger to push formula at a rate of 5 ml/minute.
Microwave refrigerated formula to room temperature.
Measure and discard residual gastric contents before feeding.
The Correct Answer is A
Choice A reason: Holding the infant with head and shoulders slightly elevated helps prevent aspiration during feeding.
Choice B reason: Using the syringe plunger to push formula can increase the risk of aspiration and is not recommended.
Choice C reason: Microwaving formula can create hot spots and is not a safe method to warm formula.
Choice D reason: Measuring and discarding residual gastric contents is not typically recommended for routine feeding and can lead to improper assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Focusing on small achievable tasks helps the client experience a sense of accomplishment and reduce anxiety. It provides structure and manageable goals, which can improve concentration and reduce overwhelming feelings.
Choice B reason: Relaxing and reducing the effort to solve the problem may help to some extent, but it is not a comprehensive coping strategy and does not address the client's avoidance behaviors and concentration difficulties.
Choice C reason: Analyzing past hurts and resentments is more aligned with psychotherapy rather than an immediate coping strategy for generalized anxiety disorder.
Choice D reason: Concentrating on and ventilating emotions when distressed might provide temporary relief but does not address the broader issue of managing anxiety and improving function.
Correct Answer is D
Explanation
Choice A reason: A listing of African-American women in the community may help identify the target audience but is not as crucial as engaging the community leaders.
Choice B reason: Morbidity data for breast cancer in women of all races provides background information but does not directly address the specific needs of African-American women.
Choice C reason: Technical assistance to produce a video is useful but secondary to involving the community in the planning process.
Choice D reason: Participation of community leaders is vital as they can provide insights into cultural and social factors that influence health behaviors, ensuring the program is culturally relevant and effective.
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