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.
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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Related Questions
Correct Answer is ["B","C","D","G"]
Explanation
A. High-intensity wrist exercises may aggravate symptoms and should generally be avoided in carpal tunnel syndrome.
B. NSAIDs are helpful in reducing inflammation and pain, providing symptomatic relief for carpal tunnel syndrome.
C. Ergonomic adjustments to the patient’s work area, such as adjusting chair height and keyboard
positioning, can help reduce strain on the wrist.
D. Wrist splinting, especially at night, keeps the wrist in a neutral position, reducing pressure on the median nerve.
E. A vibrating hand massager could increase irritation to the median nerve and is not recommended.
F. Heat packs are not effective in treating carpal tunnel syndrome; cold therapy may help reduce inflammation.
G. Corticosteroid injections can help decrease inflammation and swelling around the median nerve, providing symptom relief.
Correct Answer is D
Explanation
A. Sunbathing is not a significant factor that worsens MS symptoms. In fact, moderate exposure to sunlight may benefit people with MS by helping them get Vitamin D, which is believed to have protective effects.
B. Flying is not a common factor that exacerbates MS symptoms. However, the change in pressure can sometimes be uncomfortable for individuals with MS, but it doesn't typically worsen the condition.
C. Working in an office is not a factor known to worsen MS symptoms. The environment of an office typically does not contribute to symptom exacerbation, though stress or lack of mobility can have an indirect impact.
D. High altitude travel can worsen MS symptoms for some individuals. The decreased oxygen levels and low pressure at high altitudes can lead to increased fatigue, shortness of breath, or dizziness, which may exacerbate MS-related symptoms.
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