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.

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Correct Answer is D

Explanation

A. The client uses religious symbols to relieve pain. This is not a typical practice in Islam.
B. The client requests holy communion daily. Holy communion is a Christian practice, not an Islamic one.
C. The client refuses medical treatment on holy days. There are no specific prohibitions against receiving medical treatment on holy days in Islam.
D. The client prefers a female nurse to provide care. Many Muslim women prefer to be cared for by female healthcare providers due to modesty and religious practices.

A. "Ask the charge nurse if she will enter the vital signs for you." B. "I'll give you my password to use on another computer, but only for those vital signs." C. "I can't let you use the computer on my login, but give me the vital signs and I'll enter them." D. "Contact the information technology team and ask them to reset your password."

Correct Answer is C

Explanation

A. "Ask the charge nurse if she will enter the vital signs for you." This option might be practical but does not address the issue of ensuring proper use of login credentials and adherence to privacy and security protocols.
B. "I'll give you my password to use on another computer, but only for those vital signs." Sharing passwords is a violation of security protocols and is not permissible. Each user must use their own credentials to ensure accountability and security.
C. "I can't let you use the computer on my login, but give me the vital signs and I'll enter them." This response is appropriate. It maintains security by not sharing passwords while still addressing the immediate need of entering the vital signs.
D. "Contact the information technology team and ask them to reset your password." While contacting IT for a password reset is a good practice, it doesn't solve the immediate problem of entering the vital signs. However, it is an important step for addressing long-term access issues.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a female client who practices Islam. Which of the following client preferences should the nurse expect when providing care?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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