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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason:

Wrapping the extremity loosely with an elastic bandage may provide support but is not specifically aimed at reducing swelling.

Choice B reason:

Applying warm compresses can be beneficial for some types of injuries, but for a sprained wrist, cold compresses are more effective in reducing swelling.

Choice C reason:

This statement is correct. Elevating the extremity above the level of the heart helps to reduce swelling by promoting venous return and reducing blood flow to the affected area.

Choice D reason:

Encouraging active range of motion may be important for rehabilitation, but it is not the initial intervention for minimizing swelling in the first 12 to 24 hours after a sprain.

A. Depressed fontanels B. Decreased temperature C. Difficult to arouse D. Weak cry

Correct Answer is C

Explanation

Choice A reason:

A subdural hematoma may not directly affect the fontanels. Depressed fontanels can be a sign of dehydration or other underlying conditions, but they are not specifically associated with a subdural hematoma.

Choice B reason:

A subdural hematoma would not typically cause a decrease in body temperature. This finding may be related to other factors, but it is not a characteristic sign of a subdural hematoma.

Choice C reason:

Correct. A subdural hematoma is a collection of blood between the dura mater and the brain. This can lead to increased intracranial pressure and result in the infant being difficult to arouse.

Choice D reason:

While a weak cry can be an indication of distress or illness in an infant, it is not a specific sign of a subdural hematoma. Other assessments, including neurological signs, are crucial in evaluating the infant's condition.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a parent of a child who has a sprained wrist. Which of the following interventions should the nurse instruct the parent to implement during the first 12 to 24 hr to minimize swelling?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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