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 C

Explanation

A. Furosemide is a diuretic and is not associated with PML.
B. Metoprolol is a beta-blocker and does not cause PML.
C. Natalizumab is an immunosuppressant used for multiple sclerosis and has been linked to the development of PML, a serious brain infection.
D. Pregabalin is used for neuropathic pain and does not carry a risk for PML.

A. A Venturi mask allows for precise oxygen concentration delivery. B. Oxygen should be humidified when delivered at flow rates higher than 4 liters per minute. C. Oxygen toxicity can occur when high concentrations of oxygen are administered for extended periods. D. Nasal cannulas can deliver oxygen concentrations up to 90%. E. Oxygen therapy is always safe regardless of the patient's condition. F. A simple face mask can deliver higher oxygen concentrations than a non-rebreather mask.

Correct Answer is ["A","B","C"]

Explanation

A. A Venturi mask is an accurate way to deliver a specific concentration of oxygen, allowing for precise control.
B. Humidifying oxygen is recommended at flow rates higher than 4 liters per minute to prevent drying of the mucous membranes.
C. Oxygen toxicity can occur if high concentrations of oxygen are administered for prolonged periods, leading to potential lung damage.
D. Nasal cannulas typically provide a lower oxygen concentration than higher-flow devices, like a Venturi mask or non-rebreather mask.
E. Oxygen therapy is not always entirely safe regardless of the patient's condition; certain conditions require careful monitoring to prevent complications.

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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

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