A charge nurse is observing a nurse administer intermittent tube feedings via an NG tube to a client.
Which of the following actions by the nurse should prompt the charge nurse to intervene?
The nurse allows the client to rest in a supine position during feeding.
The nurse irrigates the NG tube with tap water after feeding.
The nurse administers the feeding through a syringe barrel by gravity.
The nurse initiates the feeding after aspirating 50 ml of gastric residual.
The nurse initiates the feeding after aspirating 50 ml of gastric residual.
The Correct Answer is A
Choice A rationale
Allowing the client to rest in a supine position during feeding should prompt the charge nurse to intervene. The client should be in an upright position during feedings and for an hour afterwards to prevent aspiration.
Choice B rationale
Irrigating the NG tube with tap water after feeding is a standard practice. This helps to keep the tube patent and prevent blockages.
Choice C rationale
Administering the feeding through a syringe barrel by gravity is a common method for giving intermittent tube feedings. This method allows for controlled administration of the feeding.
Choice D rationale
Initiating the feeding after aspirating 50 ml of gastric residual is a standard practice. Checking gastric residual volume before feedings helps to assess gastric emptying and tolerance to the feeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Ground beef is not the best choice for a client learning about dietary choices. While it is a source of protein, it is also high in saturated fats, which can contribute to heart disease and other health problems. Choice B rationale
Raw vegetables are a good source of fiber and various vitamins and minerals. However, they should be washed thoroughly before consumption to remove any potential contaminants.
Choice C rationale
Fruit with the skin can be a good source of fiber and vitamins. However, like vegetables, they should be washed thoroughly before consumption.
Choice D rationale
High fiber cereals are a great choice for a healthy diet. They can help to regulate bowel movements, lower cholesterol levels, and control blood sugar levels.
Correct Answer is C
Explanation
Choice A rationale
A sodium level of 165 mEq/L is higher than the normal range and could indicate that the body is still dehydrated.
Choice B rationale
A hematocrit of 62.5 is higher than the normal range and could suggest that the body is still dehydrated.
Choice C rationale
A urine specific gravity of 1.020 is within the normal range and suggests that the body is rehydrating effectively.
Choice D rationale
A potassium level of 3.2 mEq/L is lower than the normal range and could suggest that the body’s electrolyte balance has not yet been restored.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today