A nurse is preparing to administer a tube feeding to a child who has an NG tube. Which of the following actions should the nurse take?
Connect a bulb attachment to the syringe to deliver the feeding.
Heat the formula to body temperature.
Position the child with the head of the bed elevated 15°.
Instill the feeding if the pH is less than 5.
The Correct Answer is C
Choice A reason:
Connecting a bulb attachment to the syringe is not a standard method for administering a tube feeding and can potentially lead to complications.
Choice B reason:
Heating the formula to body temperature is not typically necessary and can be potentially dangerous if it leads to overheating.
Choice C reason:
Positioning the child with the head of the bed elevated at 15° helps to prevent aspiration during tube feeding.
Choice D reason:
Instilling the feeding based on pH alone is not a sufficient criterion for administration. Other factors, such as radiographic confirmation of tube placement, should also be considered.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Connecting a bulb attachment to the syringe is not a standard method for administering a tube feeding and can potentially lead to complications.
Choice B reason:
Heating the formula to body temperature is not typically necessary and can be potentially dangerous if it leads to overheating.
Choice C reason:
Positioning the child with the head of the bed elevated at 15° helps to prevent aspiration during tube feeding.
Choice D reason:
Instilling the feeding based on pH alone is not a sufficient criterion for administration. Other factors, such as radiographic confirmation of tube placement, should also be considered.
Correct Answer is C
Explanation
Choice A reason:
Reducing fiber intake is not necessary for a client in skeletal traction. Maintaining a balanced diet, including fiber, is important for overall health.
Choice B reason:
The nurse should not lift the traction weights off the floor. The weights must hang freely to provide the necessary traction.
Choice C reason:
Performing passive range-of-motion exercises helps prevent stiffness and muscle atrophy in the affected extremity. This is an important nursing intervention for a client in skeletal traction.
Choice D reason:
Applying protective padding to the pin sites is essential to prevent pressure and irritation. However, this action alone does not address the need for range-of-motion exercises.
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