A nurse is caring for a client who is receiving continuous enteral feeding via NG tube.
Which of the following is an unexpected finding?
Gastric residual of 300 mL at the end of the shift.
Weight gain of 0.91 kg (2 Ib) in 2 days.
Blood glucose level of 110 mg/dL.
Diarrhea one time in a 24-hr period.
The Correct Answer is A
Gastric residual of 300 mL at the end of the shift is an unexpected finding.
Gastric residual volume refers to the volume of fluid remaining in the stomach during enteral feeding.
A gastric residual volume of less than or equal to 500 mL every 6 hours is considered safe and indicates that the gastrointestinal tract is functioning.

Choice B is wrong because weight gain is expected during enteral feeding.
Choice C is wrong because a blood glucose level of 110 mg/dL is within the normal range.
Choice D is wrong because diarrhea can be a common side effect of enteral feeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This is important to prevent urine from flowing back into the bladder, which can cause infection 1.

Choice A is incorrect because the catheter should be secured to the outer side of the thigh, not taped to the lower abdomen 2.
Choice B is incorrect because attaching the drainage bag to the side rails of the bed can cause it to be above the level of the bladder.
Choice C is incorrect because it is important to empty the drainage bag regularly, not just when it is three-quarters full.
Correct Answer is A
Explanation
To calculate the dose of gentamicin to administer to a client who weighs 220 Ib, first convert the client’s weight from pounds to kilograms.
220 Ib is equivalent to 100 kg (220 Ib /.2 Ib/kg = 100 kg).
Then, multiply the client’s weight in kilograms by the dose of gentamicin per kilogram: 100 kg * 2 mg/kg = 200 mg.
Therefore, the nurse should administer 200 mg of gentamicin.
Choice B is wrong because 180 mg is not the correct dose.
Choice C is wrong because 400 mg is not the correct dose.
Choice D is wrong because 440 mg is not the correct dose.
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