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

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

a) Compare the total intake and output of fluids for the 24 hours: To assess fluid balance and status, the nurse must compare the intake and output of fluids. This helps to determine whether the patient is retaining or losing fluids.

b) Compare the patient's intake with the normal range of adult fluid intake: While this is useful for understanding general fluid needs, it does not directly assess the patient's fluid status. The comparison should be between intake and output.

c) Ensure the information is included in the verbal end-of-shift report: While this is good practice, the focus should be on using the information to assess the patient's fluid balance.

d) Report the exact milliliter of intake to the physician's office nurse: The exact intake should be recorded in the patient's chart and used for clinical decision-making, but it does not need to be reported to a physician's office nurse unless specified.

A. "Have you been having diarrhea?" B. "Have you been experiencing difficulty breathing?" C. "Have you been experiencing chest pain?" D. "Have you been experiencing muscle weakness or leg cramps?

Correct Answer is D

Explanation

a) "Have you been having diarrhea?" This is a risk factor or cause of hypokalemia but not a symptom of it. Good to ask, but not the most direct sign.

b) "Have you been experiencing difficulty breathing?" Severe hypokalemia can lead to respiratory muscle weakness, but it is not a common early symptom.

c) "Have you been experiencing chest pain?" Chest pain is not a common symptom of hypokalemia. It could signal cardiac issues, but not specific to low potassium.

d) "Have you been experiencing muscle weakness or leg cramps?" Classic symptoms of hypokalemia due to potassium’s role in muscle contraction and nerve conduction.

View Question and Answer

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

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse measures a patient's 24-hour fluid intake and documents the findings. To be an accurate indicator of fluid status, what must the nurse do with the information?

Correct Answer is A

Explanation

The health care provider is concerned that the client has hypokalemia. During the physical examination, which question should the nurse ask the client?

Correct Answer is D

Explanation

A patient began to have hand and face tremors after being brought into the Emergency Department. Labs were immediately drawn on this patient. Which labs would most likely concern the nurse at this time?

A male client who has had outpatient surgery is unable to void while lying supine. What can the nurse do to facilitate his voiding?

What type of diet would a patient with hypertension or heart failure or be prescribed?

A nurse is caring for a patient who is receiving enteral feeding. Which of the following interventions is the highest priority when the nurse suspects aspiration of the feeding?

A nurse is preparing to catheterize a female client. What will the nurse consider when comparing the anatomy of the female urethra with that of the male urethra?

A malnourished patient has an order for 500 mL of Intralipid 10% to be infused over 6 hours. How many milliliters per hour should the IV pump be programmed for? Whole number.

A nurse is caring for a client with a history of cardiac and vascular disease. Which fats should the nurse allow in the client's diet for their condition?

The physician orders Ancef 400mg IV every 8 hours for a child weighing 44 lbs. You have on hand Ancef 330 mg/mL. The recommended daily IV dosage for a child is 75 mg/kg/day. What is the safe and single dose for this child?