A nurse is caring for a client in the hospital setting who is receiving enteral feeding via NG tube, which action should the nurse complete prior to administering feeding?

Lay the client flat in the bed

Administer oral pain medication

Allow the feeding to flow by gravity

Verify the placement

Answer and Explanation

The Correct Answer is D

a) Lay the client flat in the bed: The client should not be flat to reduce the risk of aspiration. The head of the bed should be elevated at least 30 to 45 degrees.

b) Administer oral pain medication: This action is not related to verifying NG tube placement prior to feeding.

c) Allow the feeding to flow by gravity: The nurse should verify tube placement before administering the feeding, regardless of whether it’s given by gravity or pump.

d) Verify the placement: Verifying the NG tube placement is essential to ensure the feeding goes into the stomach and not the lungs, which can lead to aspiration pneumonia

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Correct Answer is A

Explanation

a) Habitual laxative use is the most common cause of chronic constipation: Chronic laxative use can lead to dependency, where the bowel no longer functions normally without the stimulant. Over time, this can cause chronic constipation.

b) Chronic constipation is nothing to be concerned about: Chronic constipation can be a sign of an underlying issue, such as a bowel obstruction, and it should not be dismissed.

c) A laxative that works by a different method should be used: While there are different types of laxatives, simply switching methods without addressing the underlying cause of dependency may not be effective in resolving chronic constipation.

d) If laxatives are not effective, the client should begin to use enemas: Enemas may be an acute solution, but relying on them regularly can be harmful. The focus should be on addressing the underlying issue of laxative dependency.

A. Providing a skin barrier for any drainage at the site B. Turn the client to the side C. Apply adhesive bandage directly to the skin D. Keep the head of bed 25 degrees

Correct Answer is A

Explanation

a) Providing a skin barrier for any drainage at the site: Protecting the skin from moisture or drainage prevents further irritation or breakdown. Skin barriers help maintain skin integrity.

b) Turn the client to the side: Positioning may help with aspiration prevention but does not address skin irritation around the G-tube site.

c) Apply adhesive bandage directly to the skin: Adhesive bandages can further irritate or damage already sensitive skin and are not recommended for irritated or moist areas.

d) Keep the head of bed 25 degrees: While semi-Fowler’s positioning (30–45°) is good for preventing aspiration, this is unrelated to treating skin irritation directly.

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A nurse is caring for a client in the hospital setting who is receiving enteral feeding via NG tube, which action should the nurse complete prior to administering feeding?

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A nurse is caring for a client in the hospital setting who is receiving enteral feeding via NG tube, which action should the nurse complete prior to administering feeding?