A nurse is caring for a client who is receiving enteral feedings via NG tube. Which of the following actions should the nurse take prior to administering the formula?

Check for gastric residual volume.

Flush the tube with sterile 0.9% sodium chloride irrigation.

Encourage the client to take sips of water.

Encourage the client to breathe deeply and cough.

Answer and Explanation

The Correct Answer is A

A. Before administering enteral feeding, it is important to check the gastric residual volume to ensure that the previous feeding has been adequately digested and to reduce the risk of aspiration. High residual volumes can indicate delayed gastric emptying and may require holding the feeding.

B. While it is important to flush the tube, this is typically done with water (sterile or tap) rather than sterile 0.9% sodium chloride, unless specifically ordered for medical reasons. The primary step before feeding is to check the residual volume.

C. Encouraging the client to take sips of water is not applicable in the context of enteral feeding via NG tube, as the feeding is delivered directly into the stomach or intestines.

D. Encouraging deep breathing and coughing is not relevant to the administration of enteral feedings via an NG tube. These actions are more related to respiratory care.

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Correct Answer is A

Explanation

This statement shows that the caregiver knows how to use proper body mechanics when lifting or moving a client in bed, which can prevent back strain and injury.

A. Determine the client's reading ability. B. Explain the techniques of esophageal speech. C. Review the use of an artificial larynx with the client. D. Schedule a support session for the client.

Correct Answer is C

Explanation

A total laryngectomy is a surgical procedure that removes the entire larynx (voice box) and separates the airway from the mouth, nose and esophagus. The client will have a permanent tracheostomy (an opening in the neck) and will not be able to speak normally. An artificial larynx is a device that produces sound by vibrating against the neck or cheek and allows the client to communicate orally. The nurse's priority intervention is to review the use of an artificial larynx with the client before surgery to facilitate postoperative communication and reduce anxiety.

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A nurse is caring for a client who is receiving enteral feedings via NG tube. Which of the following actions should the nurse take prior to administering the formula?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about preventing back strain to the caregiver of a client who is immobile and requires assistance to reposition in bed. Which of the following statements by the caregiver indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?

Correct Answer is C

Explanation

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