A nurse is managing nutrition for a client who is receiving intermittent enteral feedings through a nasogastric tube. Which of the following actions should the nurse take first?

Draw up the formula into a syringe.

Determine the pH level of gastric contents.

Flush the nasogastric tube with 30 mL of water.

Measure the total volume of gastric residual.

Answer and Explanation

The Correct Answer is B

A. Draw up the formula into a syringe. This step is premature and should be done after confirming the tube placement and checking for residual volume.
B. Determine the pH level of gastric contents. Checking the pH level of gastric contents helps confirm the placement of the nasogastric tube in the stomach, which is crucial before administering feedings or medications to prevent aspiration.
C. Flush the nasogastric tube with 30 mL of water. Flushing is important but should be done after confirming tube placement.
D. Measure the total volume of gastric residual. Measuring residual volume is important but should be done after confirming tube placement.

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 D

Explanation

A. Plan to initiate a bladder retraining program for the client. This is important but not the immediate first action.
B. Protect the client's perineal skin with a moisture barrier. This is a preventive measure but not the first step in evidence-based practice.
C. Teach the client to perform pelvic floor muscle exercises. This is useful but not the immediate first action.
D. Request a prescription for catheter removal. Indwelling urinary catheters should be removed as soon as possible to reduce the risk of infection, which aligns with evidence-based practice.

A. Verify the client's understanding beyond affirmative nodding. B. Encourage the client to drink iced water to manage an elevated temperature. C. Avoid using gestures when communicating with the client. D. Inform the client that herbal remedies are not effective in treating tuberculosis.

Correct Answer is A

Explanation

A. Verify the client's understanding beyond affirmative nodding. It's crucial to ensure that the client truly understands the information, as nodding may not always indicate comprehension.
B. Encourage the client to drink iced water to manage an elevated temperature. This advice is not culturally specific and may not be appropriate for all clients.
C. Avoid using gestures when communicating with the client. Gestures can be helpful but should be used with caution as they can have different meanings in different cultures.
D. Inform the client that herbal remedies are not effective in treating tuberculosis. This dismisses the client's cultural beliefs and practices and can be seen as culturally insensitive. Instead, the nurse should provide evidence-based information and work with the client's beliefs.

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 managing nutrition for a client who is receiving intermittent enteral feedings through a nasogastric tube. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an indwelling urinary catheter in place to manage occasional urinary incontinence. When following evidence- based practice, which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is caring for a client who has tuberculosis and speaks a different language than the nurse. When providing culturally competent care, which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is planning care for a client who practices Hinduism. The nurse should expect that the client has which of the following religious beliefs?

A nurse is planning care for a client who practices Seventh-day Adventism. Which of the following dietary provisions should the nurse include in the plan of care?

A nurse is providing change-of-shift report on a client who is postoperative following abdominal surgery. Which of the following statements should the nurse include in the change-of-shift report?

A nurse is teaching a young adult client who has a family history of colon cancer about dietary guidelines to help prevent the disease. Which of the following instructions should the nurse include in the teaching?

A nurse manager is reviewing the benefits of electronic health records (EHRS) with a newly licensed nurse. The nurse manager should identify that which of the following acts provides reimbursement incentives for facilities that use EHRs?

A nurse is assessing a client who has a Clostridium difficile infection. The nurse should monitor for which of the following complications during the early stages of this infection?

A nurse is preparing to place a belt restraint on a client. In what order should the nurse take the following actions? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A nurse in a pediatric intensive care unit is admitting a toddler who has bacterial meningitis. Which of the following isolation precautions should the nurse implement?