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. African Americans B. Southeast Asians C. Northern European Caucasians D. Alaskan natives

Correct Answer is A

Explanation

A. African Americans Sickle cell disease is most prevalent among African Americans and people of African descent.
B. Southeast Asians This group is more at risk for thalassemia, not sickle cell disease.
C. Northern European Caucasians This group is more at risk for cystic fibrosis, not sickle cell disease.
D. Alaskan natives This group is not at a higher risk for sickle cell disease.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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