A nurse is preparing to administer an enteral feeding to a patient with a gastrostomy tube. Before starting the feeding, which of the following actions should the nurse take to ensure patient safety?

Administer the feeding solution directly from the refrigerator.

Flush the tube with 10 mL of cold water

Position the patient supine at 30 degrees.

Verify the pH of gastric aspirate is less than 5.0.

Answer and Explanation

The Correct Answer is D

A.   Administering feeding solution directly from the refrigerator can cause discomfort to the patient and increase the risk of gastric upset.
B.   Flushing the tube with cold water is not appropriate, as it may irritate the stomach and cause discomfort.
C.   Positioning the patient supine at 30 degrees is unsafe, as it increases the risk of aspiration. The patient should be at a higher angle, typically 30-45 degrees.
D.   Verifying the pH of gastric aspirate is crucial to ensure the feeding tube is in the correct position and to prevent aspiration of feeding material into the lungs.

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Correct Answer is B

Explanation

A. Aspirin can irritate the gastrointestinal lining, making it unsuitable for patients with GERD.
B. Alcohol and caffeine both relax the lower esophageal sphincter, which can increase the risk of acid reflux and worsen GERD symptoms.
C. Lying down immediately after eating can increase the likelihood of acid reflux and exacerbate GERD symptoms.
D. While mercury-containing seafood can be harmful in other contexts, it is not directly linked to GERD and should not be a primary concern.

A. Dextrose 10% in water B. 25% albumin C. Dextrose 5% in water D. Dextran 40

Correct Answer is C

Explanation

A. Dextrose 10% in water is hypertonic and would exacerbate hypernatremia by further increasing sodium levels.
B. 25% albumin is not appropriate for treating hypernatremia and is typically used for volume expansion in cases of shock or hypoalbuminemia.
C. Dextrose 5% in water is an isotonic solution that helps dilute sodium levels and correct hypernatremia gradually.
D. Dextran 40 is a volume-expanding agent, not suitable for treating hypernatremia.

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A nurse is preparing to administer an enteral feeding to a patient with a gastrostomy tube. Before starting the feeding, which of the following actions should the nurse take to ensure patient safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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