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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","B","D","E","F"]

Explanation

A. Increasing fiber intake through vegetables and whole grains is recommended as it helps manage blood sugar levels and promotes overall health.
B. Monitoring blood glucose levels regularly is essential for individuals with diabetes to assess their condition and adjust their treatment plan accordingly.
C. Consuming sugary drinks to maintain energy levels is not appropriate as sugary drinks can cause blood sugar spikes and worsen diabetes control.
D. Engaging in at least 150 minutes of moderate-intensity aerobic exercise per week is beneficial for managing blood sugar levels, improving insulin sensitivity, and overall cardiovascular health.
E. Reducing alcohol consumption is recommended as excessive alcohol intake can interfere with blood sugar control and interact with diabetes medications.
F. Limiting carbohydrate intake, focusing on complex carbohydrates, helps prevent blood sugar spikes and promotes better diabetes management.
G. Relying solely on medication without lifestyle changes is not appropriate. Lifestyle modifications are essential in managing Type 2 diabetes effectively alongside medications.

A. Apply soft restraints to prevent injury during the seizure. B. Administer intravenous lorazepam. C. Obtain a detailed seizure history from the family. D. Ensure the patient's airway is open and position them on their side.

Correct Answer is D

Explanation

A. Applying soft restraints during a seizure could increase the risk of injury and is not recommended.
B. Administering lorazepam is often necessary in seizures, but the priority during a seizure is ensuring the airway is open and the patient is in a safe position.
C. Obtaining a seizure history is important but should be done after managing the acute situation.
D. The priority during a seizure is to ensure the patient's airway is open and to position them on their side to prevent aspiration and facilitate breathing.

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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.)

Nursing Test Bank

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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.)