A nurse is preparing to administer a nasogastric (NG) tube feeding to a school-age child. Which of the following actions should the nurse plan to take?
Measure the tubing from the nose to the distal port.
Position the chud at a 10 to 20 angle after feeding.
Complete the feeding in 5 min.
Warm the formula in the microwave
The Correct Answer is A
A. Measure the tubing from the nose to the distal port. Proper placement of an NG tube requires measuring from the tip of the nose to the earlobe, then to the xiphoid process. This ensures the tube reaches the stomach without curling or entering the airway.
B. Position the child at a 10 to 20 angle after feeding. A head elevation of at least 30 to 45 degrees is necessary during and after NG feedings to reduce the risk of aspiration. A 10 to 20 degree angle is too low and unsafe for post-feeding positioning.
C. Complete the feeding in 5 min. NG feedings should be given slowly over 20 to 30 minutes to prevent gastrointestinal discomfort, cramping, or vomiting. A 5-minute infusion is too rapid and may overwhelm the child’s digestive capacity.
D. Warm the formula in the microwave. Microwaving formula can lead to uneven heating and hot spots, which pose a burn risk to the child. Formula should be warmed by placing the container in warm water and testing the temperature before administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Educating clients about contraindications to specific immunizations. This is an example of primary prevention, which aims to prevent disease before it occurs by promoting safe practices and avoiding harmful exposures.
B. Providing clients with information about the benefits of exercise. This also falls under primary prevention, as it promotes a healthy lifestyle to prevent the onset of disease or complications.
C. Using an electronic messaging system to remind clients when to take medications. This is an example of tertiary prevention, which focuses on managing chronic conditions (like HIV) and preventing complications or progression of the disease through adherence support.
D. Helping clients understand health screenings covered by their insurance plans. This is considered secondary prevention, which involves early detection and prompt intervention to catch diseases in the early stages through screenings.
Correct Answer is C
Explanation
A. Apply splints to the child's extremities during the day. Splints are typically used at night to help prevent joint contractures and support proper alignment during rest. Daytime use may limit mobility and physical activity, which are encouraged.
B. Encourage the child to take naps during the day. While rest is important, excessive daytime napping can contribute to joint stiffness and reduced function. Activity and movement are encouraged to maintain joint flexibility.
C. Have the child take a tub bath each morning. Warm baths help relieve joint stiffness and pain associated with juvenile idiopathic arthritis. Morning bathing is especially beneficial to improve mobility at the start of the day.
D. Keep the child on bedrest as long as pain persists. Prolonged bedrest can lead to muscle atrophy, stiffness, and joint contractures. Maintaining activity, as tolerated, is key to managing symptoms and preserving joint function.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.