Try Naxlex NCLEX-RN (Free-Trial)

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Encouraging deep breaths and using an incentive spirometer can help prevent atelectasis and improve oxygenation after surgery, as it encourages lung expansion.
B. Setting the oxygen flow rate based on subjective breathlessness is not ideal; oxygen should be administered according to established protocols and patient need.
C. Administering oxygen without an order is not appropriate and could lead to oxygen toxicity.
D. The Trendelenburg position is not necessary for oxygenation and could lead to increased pressure on the abdomen and respiratory distress.

A. Frequent headaches B. Blood pressure consistently at goal C. Normal renal function tests D. Steady weight with no recent gain E. Proteinuria on urinalysis F. Left ventricular hypertrophy on echocardiogram G. Absence of retinal changes on fundoscopic exam

Correct Answer is ["E","F"]

Explanation

A. Frequent headaches can be a symptom of hypertension but are not specific to poorly managed hypertension.
B. Blood pressure consistently at goal indicates good management of hypertension.
C. Normal renal function tests suggest that there has been no damage to the kidneys, a common consequence of poorly controlled hypertension.
D. Steady weight with no recent gain suggests good management of overall health, which can contribute to better blood pressure control.
E. Proteinuria indicates kidney damage, often a result of uncontrolled hypertension.
F. Left ventricular hypertrophy (LVH) is a sign of chronic hypertension and indicates poor management, as it results from the heart working harder to pump blood against increased pressure.
G. Absence of retinal changes on fundoscopic exam indicates that there is no evidence of hypertensive retinopathy, suggesting good hypertension management.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer oxygen therapy to a patient who has just undergone abdominal surgery. Which of the following interventions is most important to ensure proper oxygenation?

Correct Answer is A

Explanation

A 60-year-old patient with a history of hypertension presents to the clinic for a routine check-up. Which of the following findings would indicate poor management of hypertension? (Select All that Apply.)

Correct Answer is ["E","F"]

Explanation

A patient presents with numbness and tingling in the thumb, index, and middle fingers, and a positive Phalen's test. Which of the following interventions would be most appropriate to address the underlying cause of these symptoms?

A 72-year-old patient with a history of chronic hypertension is diagnosed with acute kidney injury (AKI) secondary to contrast-induced nephropathy. Which clinical finding would most likely be present in this patient?

A 23-year-old patient is diagnosed with myoclonic seizures. Which of the following characteristics is most indicative of this type of seizure?

A nurse is caring for a client with manifestations of status asthmaticus. Which of the following factors play a role in creating circulatory surge of inflammatory cells and cytokines in this condition? (Select all that apply.)

A 60-year-old patient with a history of peptic ulcer disease is admitted to the hospital with complaints of coffee-ground emesis and melena. What is the nurse's most appropriate initial action?

Which of the following common characteristics of nonallergic asthma can the nurse expect to find when assessing an adult client? (Select all that apply.)

A 55-year-old patient is diagnosed with colorectal cancer. Which factors are associated with an increased risk of developing this type of cancer? (Select All that Apply.)

A 50-year-old male patient with a history of chronic alcoholism presents with fatigue, glossitis, and peripheral neuropathy. Laboratory findings show a hemoglobin level of 9.0 g/dL and mean corpuscular volume (MCV) of 110 fL. What type of anemia is most likely in this patient?

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.)