A nurse is about to administer a bolus enteral feeding to a client who is on bedrest. How does the nurse position the client during the feeding?
On left side, with the knees bent
With the head of the bed elevated 30-45 degrees
On the right side, with a pillow behind the back
With the head of the bed elevated 15 degree
The Correct Answer is B
B. Elevating the head of the bed to 30-45 degrees is the recommended position for administering enteral feeding to reduce the risk of aspiration. This semi-upright position helps promote gastric emptying and reduces the likelihood of reflux or regurgitation of the feed into the lungs. It also allows for better tolerance of the feeding and minimizes the risk of complications.
A. Positioning the client on the left side with the knees bent is not typically recommended for enteral feeding. This position may increase the risk of aspiration, especially if the client has impaired swallowing or if there are issues with gastric emptying. It may also not be the most comfortable or practical position for administering enteral feeding.
C. Positioning the client on the right side with a pillow behind the back is not a standard practice for administering enteral feeding. This position may not provide optimal access for administering the feed, and it does not offer the benefits of head elevation to reduce the risk of aspiration.
D. Elevating the head of the bed to only 15 degrees may not provide sufficient upright positioning to reduce the risk of aspiration during enteral feeding. While it is better than lying completely flat, a higher degree of elevation (30-45 degrees) is generally recommended for optimal safety and effectiveness of enteral feeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Physical therapy, also known as physiotherapy, is a discipline focused on the preservation, enhancement, or restoration of movement and physical function. Physical therapists assess and treat individuals with musculoskeletal, neuromuscular, cardiovascular, and other conditions to improve mobility, strength, flexibility, balance, and coordination through therapeutic exercises, manual therapy techniques, and functional training.
A. Respiratory therapy focuses on the assessment, treatment, and management of patients with respiratory and cardiopulmonary disorders. Respiratory therapists specialize in providing interventions such as oxygen therapy, mechanical ventilation, and pulmonary rehabilitation to optimize respiratory function and improve breathing.
C. Speech therapy and language pathology, also known as speech-language pathology (SLP), is a discipline that focuses on the assessment and treatment of communication disorders, swallowing difficulties (dysphagia), and cognitive-communication impairments. Speech-language pathologists assess and treat individuals with speech sound disorders, language delays, voice disorders, fluency disorders (stuttering), and communication difficulties associated with neurological conditions or injuries.
D. Occupational therapy is a discipline focused on promoting health and well-being through meaningful engagement in daily activities (occupations). Occupational therapists assess and treat individuals of all ages who are experiencing physical, cognitive, psychosocial, or sensory impairments that affect their ability to participate in activities of daily living (ADLs), work, leisure, education, and social participation. Occupational therapy interventions aim to enhance independence, functional performance, and quality of life.
Correct Answer is B
Explanation
B. This statement demonstrates an understanding of palliative care as a supportive approach focused on optimizing independence and quality of life. Palliative care emphasizes symptom management, psychosocial support, and enhancing functional abilities to enable patients to live as fully and independently as possible, even in the context of a progressive neurologic disease. This statement aligns with the principles of palliative care, which aim to empower patients to make choices and maintain control over their lives.
A. This statement reflects a perception of palliative care as solely placing the responsibility of care on the family. While family support is an essential component of palliative care, it is not the sole responsibility of the family. Palliative care aims to provide comprehensive support to patients with serious illnesses, addressing physical, emotional, social, and spiritual needs. It involves a collaborative approach involving healthcare professionals, patients, and their families to ensure holistic care and quality of life.
C. This statement suggests a misconception about palliative care, equating it with relinquishing control of care decisions to a partner or caregiver. In reality, palliative care emphasizes patient-centered decision-making and supports patients in expressing their preferences, values, and goals of care. While caregivers play an important role in the palliative care team, ultimate decision-making authority rests with the patient, and care plans are tailored to align with the patient's wishes and priorities.
D. This statement reflects a misunderstanding of palliative care as a replacement for disease-specific medical care, such as neurology. Palliative care is not mutually exclusive with disease-focused treatment but rather complements it by addressing the broader physical, emotional, and social needs of patients with serious illnesses, including progressive neurologic diseases. Palliative care can be provided concurrently with disease-specific treatments and involves a multidisciplinary team, which may include specialists like neurologists, to ensure comprehensive care.
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