A nurse is preparing to administer an enteral feeding to a preschooler who has a nasogastric tube. Which of the following actions should the nurse plan to take?
Discard residual fluid aspirated from the stomach prior to the feeding.
Administer the formula immediately after removing it from the refrigerator.
Elevate the head of the bed to a 45-degree angle.
Administer the feeding at a rate of 30 mL/min.
The Correct Answer is C
A. Residual fluid should not be discarded unless instructed by a healthcare provider, as it provides important information about gastric emptying and tolerance to previous feedings.
B. Formula should be brought to room temperature before administration to avoid causing discomfort or gastric irritation. Cold formula can cause cramps and slow gastric motility.
C. Elevating the head of the bed to a 45-degree angle helps prevent aspiration during feeding and promotes proper digestion. This position is critical for patient safety.
D. The feeding rate should be individualized based on the child's tolerance and prescribed regimen, and 30 mL/min is typically too fast for a preschooler, increasing the risk of aspiration or intolerance.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Encouraging active range of motion of the extremity can increase swelling and is not recommended immediately after a sprain.
B. Elevating the extremity above the level of the heart helps reduce swelling by promoting venous return.
C. Wrapping the extremity loosely with an elastic bandage provides some support but is not the most effective way to reduce swelling.
D. Applying warm compresses can increase blood flow and swelling; cold compresses are recommended during the first 24 hours.
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
Explanation
The nurse should plan to clarify the prescription for medication Ceftriaxone because of the child's finding medication allergy. Given the child's allergy to cephalosporins, which are related to ceftriaxone, clarifying the prescription ensures that an alternative antibiotic is chosen to treat the left lower lobe pneumonia effectively without risking an allergic reaction.
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