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 B
Explanation
Choice A reason:
A weight loss of 0.25 kg (0.55 lb) may be within the range of normal fluctuation for an infant and may not necessarily warrant immediate reporting. However, it should be monitored closely.
Choice B reason:
Vomiting twice in 4 hours after receiving digoxin is a concerning finding. Digoxin has a narrow therapeutic range, and vomiting can lead to potential overdose. This should be reported to the provider for further evaluation.
Choice C reason:
A respiratory rate of 30/min may indicate increased work of breathing, which is a concern in an infant with heart failure. However, it is not specific to digoxin administration and may require
intervention but not immediate reporting.
Choice D reason:
A heart rate of 130/min is within the range of normal for an infant, especially one with heart failure. This finding is not specific to digoxin administration and may not warrant immediate reporting.
Correct Answer is B
Explanation
Choice A reason:
Roseola infantum is a common viral illness in infants and young children, but it is not considered a notifiable infectious disease.
Choice B reason:
Correct. Measles is a notifiable infectious disease. This means that healthcare providers are required to report any diagnosed cases to public health authorities due to its potential for outbreaks.
Choice C reason:
Fifth disease, caused by parvovirus B19, is typically a mild viral illness in children and is not classified as a notifiable infectious disease.
Choice D reason:
Scabies is a parasitic infestation, not an infectious disease. It is caused by the Sarcoptes scabiei mite and is not considered notifiable.
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.