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
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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Related Questions
Correct Answer is B
Explanation
a) How to order food from dietary: While nutrition is important for overall health, it does not specifically address the needs of an older adult with a UTI.
b) Encourage appropriate perineal care: Older adults are at a higher risk for UTIs due to factors like incontinence, weakened immune systems, and difficulty with personal hygiene. Teaching proper perineal care can help prevent UTIs.
c) Encourage tub bath instead of showers: Showers are generally safer than tub baths, especially for older adults, to prevent falls. There is no direct benefit to promoting tub baths for UTIs.
d) Void every 6 hours: Encouraging older adults to void every 6 hours may not be ideal for everyone, especially those with incontinence or decreased bladder capacity. The focus should be on adequate hydration and timely voiding based on individual needs.
Correct Answer is A
Explanation
a) Assist him to a standing position: Assisting the client to a standing position can help facilitate voiding, as it takes advantage of gravity and the normal physiological positioning for urination in males.
b) Ask his wife to assist with the urinal: While support from family members is often helpful, it does not address the issue of positioning, which is key in facilitating voiding after surgery.
c) Pour cold water over his genitalia: Pouring cold water is a common technique to encourage voiding, but it may not be as effective as proper positioning.
d) Tell him he has to void to be discharged: While it’s true that clients need to void before discharge in some cases, this statement may cause anxiety and does not address the root of the issue (difficulty voiding in the supine position).
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