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A nurse is caring for a patient receiving enteral nutrition through a nasogastric tube. Which interventions should the nurse implement to ensure safe and effective enteral feeding?
(Select All that Apply.)

Position the patient supine during feeding to enhance comfort.

Monitor gastric residual volumes regularly.

Administer all feedings rapidly to decrease procedure time.

Use sterile gloves when handling the feeding tube.

Flush the tube with water before and after medication administration.

Elevate the head of the bed to at least 30 degrees during feeding.

Verify tube placement before starting the feeding.

Answer and Explanation

Correct Answer : B,E,F,G

A.   Positioning the patient supine can increase the risk of aspiration and should be avoided during feeding. The head of the bed should be elevated instead.
B.   Monitoring gastric residual volumes is important to assess the tolerance of the feeding and prevent aspiration.
C.   Feedings should be given slowly to avoid complications like gastric distention, not rapidly.
D.   Using sterile gloves when handling a feeding tube is not necessary unless there is a risk for infection, but clean gloves are generally adequate.
E.   Flushing the tube with water before and after medication administration helps to maintain patency and prevent clogging.
F.   The head of the bed should be elevated at least 30 degrees during feeding to reduce the risk of aspiration.
G.   Verifying tube placement before starting the feeding ensures that the feeding is going into the stomach and not the lungs.

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Correct Answer is ["A","C","D","G"]

Explanation

A. Nocturia (frequent urination at night) is a common symptom of BPH due to increased urinary retention and urgency.
B. Fever and chills are not associated with BPH; these symptoms suggest an infection or other underlying condition.
C. Increased urinary frequency is a key symptom of BPH due to pressure on the urethra, making it more difficult to empty the bladder completely.
D. Hesitancy in starting urine flow is common in BPH due to the obstruction of the urethra by the enlarged prostate.
E. Hematuria is not a typical finding of BPH, though it can sometimes occur if the prostate is irritated.
F. Abdominal distension is not typically associated with BPH.
G. Decreased urinary stream is often observed in BPH because the enlarged prostate compresses the urethra, making urination difficult.

A. A Venturi mask allows for precise oxygen concentration delivery. B. Oxygen should be humidified when delivered at flow rates higher than 4 liters per minute. C. Oxygen toxicity can occur when high concentrations of oxygen are administered for extended periods. D. Nasal cannulas can deliver oxygen concentrations up to 90%. E. Oxygen therapy is always safe regardless of the patient's condition. F. A simple face mask can deliver higher oxygen concentrations than a non-rebreather mask.

Correct Answer is ["A","B","C"]

Explanation

A. A Venturi mask is an accurate way to deliver a specific concentration of oxygen, allowing for precise control.
B. Humidifying oxygen is recommended at flow rates higher than 4 liters per minute to prevent drying of the mucous membranes.
C. Oxygen toxicity can occur if high concentrations of oxygen are administered for prolonged periods, leading to potential lung damage.
D. Nasal cannulas typically provide a lower oxygen concentration than higher-flow devices, like a Venturi mask or non-rebreather mask.
E. Oxygen therapy is not always entirely safe regardless of the patient's condition; certain conditions require careful monitoring to prevent complications.

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A nurse is caring for a patient receiving enteral nutrition through a nasogastric tube. Which interventions should the nurse implement to ensure safe and effective enteral feeding? (Select All that Apply.)

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Correct Answer is ["A","C","D","G"]

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A nurse is caring for a patient receiving enteral nutrition through a nasogastric tube. Which interventions should the nurse implement to ensure safe and effective enteral feeding?
(Select All that Apply.)