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A nurse is caring for a patient who is receiving enteral tube feeding and has a new prescription to dilute the formula.

The nurse recognizes this is being done to resolve which of the following conditions?

Constipation

Diarrhea

Electrolyte imbalance

Delayed gastric emptying

Answer and Explanation

The Correct Answer is B

Choice A rationale

Constipation is not typically resolved by diluting enteral feeding formula.

Choice B rationale

Diarrhea can be a common side effect of enteral feeding, and diluting the formula can help manage this.

Choice C rationale

While electrolyte imbalance can occur with enteral feeding, diluting the formula is not typically done to resolve this issue.

Choice D rationale

Delayed gastric emptying is not typically resolved by diluting enteral feeding formula.

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Correct Answer is ["31"]

Explanation

Step 1: Calculate the total volume to be infused. Total volume = 250 mL.

Step 2: Calculate the total time for the infusion in minutes. Total time = 2 hours × 60 minutes/hour = 120 minutes.

Step 3: Calculate the flow rate in mL/min. Flow rate = Total volume ÷ Total time = 250 mL ÷ 120 min = 2.08 mL/min.

Step 4: Calculate the flow rate in drops/min. Flow rate = 2.08 mL/min × 15 drops/mL = 31.25 drops/min. So, the nurse should adjust the flow rate to deliver approximately 31 drops per minute.

A. Discard any residual gastric contents. B. Position the patient in a low Fowler’s position. C. Test the pH of the gastric aspirate. D. Warm the feeding solution to body temperature.

Correct Answer is C

Explanation

Choice A rationale

Discarding any residual gastric contents before administering the tube feeding is not necessary and could lead to unnecessary loss of nutrients and electrolytes.

Choice B rationale

Positioning the patient in a low Fowler’s position is not the optimal position for administering a tube feeding. The patient should be in an upright position to reduce the risk of aspiration.

Choice C rationale

Testing the pH of the gastric aspirate is an important step before administering a tube feeding. This helps to verify that the feeding tube is in the stomach and not in the lungs.

Choice D rationale

Warming the feeding solution to body temperature is not necessary and could potentially lead to bacterial growth in the feeding solution.

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A nurse is caring for a patient who is receiving enteral tube feeding and has a new prescription to dilute the formula. The nurse recognizes this is being done to resolve which of the following conditions?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to infuse a 250-mL unit of packed red blood cells (RBCs) over 2 hours. The drop factor of the manual intravenous (IV) tubing is 15 drops/mL. How many drops per minute should the nurse adjust the flow rate to deliver?

Correct Answer is ["31"]

Explanation

A nurse is providing care for a patient in a long-term care facility who is receiving enteral feedings via a nasogastric (NG) tube.What action should the nurse take before administering the tube feeding?

Correct Answer is C

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A nurse is caring for a patient who is receiving enteral tube feeding and has a new prescription to dilute the formula.

The nurse recognizes this is being done to resolve which of the following conditions?