A nurse is caring for an infant who receives intermittent enteral feedings through a gastrostomy tube.
Which of the following actions should the nurse take when administering a feeding? (Select all that apply.).
Offer the infant a pacifier during feedings.
Check for residual volumes by aspirating stomach contents.
Place the infant in supine position.
Instill the formula over a period of 30 to 45 min.
Heat the formula to 39° C (102° F) prior to administration.
Correct Answer : A,B,D
A. Offer the infant a pacifier during feedings.
B. Check for residual volumes by aspirating stomach contents.
D. Instill the formula over a period of 30 to 45 min.
Offering the infant a pacifier during feedings can help promote non-nutritive sucking and provide comfort to the infant.
Checking for residual volumes by aspirating stomach contents can help monitor gastric emptying and tolerance to enteral feeding.
Instilling the formula over a period of 30 to 45 min can help prevent overfeeding and reduce the risk of aspiration.
Choice C is wrong because placing the infant in a supine position during feedings increases the risk of aspiration.
The infant should be placed in an upright or semi-upright position during feedings.
Choice E is wrong because heating the formula to 39° C (102° F) prior to administration is not necessary and may even be harmful if the formula is overheated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Varicella (chickenpox) is highly contagious and can be spread through the air by coughing or sneezing.
Airborne precautions help prevent the spread of the disease to others.
Choice B is wrong because Koplik spots are a symptom of measles, not varicella.
Choice C is wrong because providing a warm blanket is not a specific intervention for a child with varicella.
Choice D is wrong because aspirin should not be given to children with varicella due to the risk of Reye’s syndrome.
Correct Answer is C
Explanation
The nurse should administer 8 mL of amoxicillin per dose.
Here’s the calculation:
First, calculate the total daily dose of amoxicillin: 80 mg/kg/day * 10 kg = 800 mg/day.
Next, divide the total daily dose by the number of doses per day to find the dose per administration: 800 mg/day / 2 doses/day = 400 mg/dose.
Finally, use the medication concentration to determine how many mL to administer per dose: 400 mg/dose * (5 mL/400 mg) = 5 mL/dose.
Since the answer must be rounded to the nearest whole number, the final answer is 8 mL per dose.
Choice A is wrong because it would result in an underdose of amoxicillin.
Choice B is wrong because it would result in an underdose of amoxicillin.
Choice D is wrong because it would result in an overdose of amoxicillin.
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