What action should the nurse take before starting an enteral feeding using a newly inserted nasogastric feeding tube?

Review abdominal x-ray results

Review chest x-ray results

Flush the feeding tube

Auscultate bowel sounds

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is A

Explanation

Choice A rationale
Dumping syndrome is a condition that can occur after surgery to remove all or part of your stomach or after an operation to bypass your stomach to help you lose weight. It’s also known as rapid gastric emptying. Dumping syndrome occurs when food, especially sugar, moves from your stomach into your small intestine too quickly. One of the recommended dietary changes for managing dumping syndrome is eating smaller, more frequent meals. This helps to avoid

the rapid emptying of food into the small intestine, thereby preventing the symptoms of dumping syndrome.
Choice B rationale
Sitting up for 5 hours after each meal is not typically recommended for managing dumping syndrome. While it’s advised to take a short rest after eating, the duration doesn’t need to be as long as 5 hours.
Choice C rationale
The symptoms of dumping syndrome can begin soon after eating, especially if the meal is high in sugar. However, they typically start within 10 to 30 minutes, not 5 hours.
Choice D rationale
Drinking lots of fluids with meals is not recommended for those with dumping syndrome. In fact, it’s often advised to avoid drinking fluids until about 30 minutes after a meal to prevent triggering symptoms.

A. The pain is worse after I eat a meal high in fat. B. My pain is relieved by having a bowel movement. C. I feel so much better after eating. D. The pain radiates down to my lower back.

Correct Answer is C

Explanation

Choice A rationale
High-fat meals can exacerbate symptoms of gallbladder disease or pancreatitis, but they are not typically associated with peptic ulcer disease.
Choice B rationale
Relief of pain after a bowel movement is more indicative of conditions such as irritable bowel syndrome or inflammatory bowel disease, not peptic ulcer disease.
Choice C rationale
Peptic ulcer disease is characterized by a gnawing or burning pain that can be relieved by eating. This is because food neutralizes the stomach acid temporarily. However, the pain often returns after the food has been digested.
Choice D rationale

Pain radiating to the lower back can be a symptom of conditions such as pancreatitis or gallstones, but it is not typically associated with peptic ulcer disease.

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What action should the nurse take before starting an enteral feeding using a newly inserted nasogastric feeding tube?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a patient about bariatric surgery and dumping syndrome. Which statement indicates that the patient comprehends dumping syndrome?

Correct Answer is A

Explanation

A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?

Correct Answer is C

Explanation

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