A home health nurse is teaching a guardian about administering tube feedings to their 3-
month-old infant. Which of the following information should the nurse include in the teaching?

Allow the infant to suck on a pacifier during feedings.

Place enough formula for 12 hr in the feeding container.

Change the tube feeding setup every 36 hr.

Flush the tube with 30 mL of water between feedings.

Answer and Explanation

The Correct Answer is D

A. Allowing the infant to suck on a pacifier during tube feedings can lead to aspiration or choking and is not recommended.

B. Placing enough formula for 12 hours in the feeding container may lead to formula spoilage and contamination, as formula should be prepared fresh for each feeding.

C. Changing the tube feeding setup every 36 hours is not typically necessary unless there are signs of contamination or malfunction. The frequency of changing the setup should be based on institutional policies and manufacturer recommendations.

D. Flushing the tube with water before and after feedings helps ensure proper hydration and prevents tube blockage. A volume of 30 mL is commonly recommended for infants.

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Correct Answer is A

Explanation

A. Inserting an indwelling urinary catheter is within the scope of practice of an LPN and is an appropriate task to delegate.
B. Measuring abdominal girth involves assessment of ascites progression, which requires the nurse’s judgment and should not be delegated.
C. Assessing and documenting the client’s level of consciousness requires critical nursing judgment and must be performed by the RN.
D. Measuring gastric drainage every 2 hr is an appropriate task for an AP, not specifically requiring an LPN.

A. A client who has a history of MRSA will need antibiotics. B. A client who has a history of MRSA can develop immunity to the infection. C. A client who has a history of MRSA requires a protective environment. D. A client who has a history of MRSA can still transmit the infection.

Correct Answer is D

Explanation

A. Not all clients with a history of MRSA will require antibiotics. Treatment depends on the presence of active infection, colonization, and other clinical factors.
B. There is no evidence to suggest that individuals can develop immunity to MRSA. MRSA remains a significant pathogen, and individuals with a history of MRSA remain susceptible to reinfection or colonization.
C. A protective environment is not typically required for clients with a history of MRSA. Standard precautions, including hand hygiene and appropriate use of personal protective equipment, are sufficient to prevent transmission.

D. Clients with a history of MRSA can still carry the bacteria on their skin or in their nasal passages and may transmit the infection to others, especially in healthcare settings. Therefore, it is important to adhere to infection control practices to prevent transmission.

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A home health nurse is teaching a guardian about administering tube feedings to their 3-month-old infant. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

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A nurse delegates tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). When admitting a client who is experiencing acute liver failure and who has ascites and an NG tube, which of the following tasks is most appropriate for the nurse to delegate to the LPN?

Correct Answer is A

Explanation

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Correct Answer is D

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A home health nurse is teaching a guardian about administering tube feedings to their 3-
month-old infant. Which of the following information should the nurse include in the teaching?