A nurse is preparing to administer an enteral feeding via nasogastric tube. Identify the correct sequence the nurse should follow to initiate the feeding. (Move the steps, placing them in the selected order of performance. All steps must be used.)
Verify tube placement
Check the residual feeding contents
Evaluate tolerance of feeding
Administer the feeding
The Correct Answer is A,B,D,C
A. Verify tube placement: This is the first step to ensure that the tube is in the correct position and not in the lungs, which could lead to aspiration.
B. Check the residual feeding contents: This helps to assess gastric emptying and ensure that the stomach can tolerate the feeding. If there is a large amount of residual, the feeding may be delayed or the rate may need to be adjusted.
D. Administer the feeding: Once tube placement is confirmed and residual contents are assessed, the feeding can be administered at the prescribed rate.
C. Evaluate tolerance of feeding: After the feeding is complete, it's important to monitor the client for signs of tolerance, such as the absence of nausea, vomiting, or abdominal distension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Chicken broth is a clear liquid and would be appropriate for a clear liquid diet. However, it is not suitable for a full liquid diet because it is a clear liquid and does not represent the expanded options available on a full liquid diet.
B. Cranberry juice is a clear liquid and is appropriate for a clear liquid diet but is not typically included in the full liquid diet. While it is acceptable for hydration, it does not provide the more substantial nutrition options available in a full liquid diet.
C. Flavored gelatin is part of the clear liquid diet but is also compatible with the full liquid diet. It is liquid at room temperature and does not contain solid particles, making it an acceptable option for a full liquid diet.
D. Skim milk is considered a full liquid as it is liquid at room temperature and provides additional nutrients like protein and calcium that are beneficial for recovery. It is a suitable addition when progressing from a clear liquid diet to a full liquid diet.
Correct Answer is B
Explanation
A. Consuming large meals high in carbohydrates is not recommended for managing narcolepsy. Large meals, especially those high in carbohydrates, can lead to drowsiness and exacerbate daytime sleepiness, which is already a significant concern in narcolepsy. Instead, smaller, balanced meals are typically advised to avoid large fluctuations in blood sugar levels and excessive sleepiness.
B. Exercise regularly is an appropriate recommendation. Regular physical activity can help improve overall health, mood, and sleep patterns. For individuals with narcolepsy, exercise can also help manage excessive daytime sleepiness and improve alertness. However, it is important to avoid exercising too close to bedtime, as it can interfere with nighttime sleep.
C. Engaging in activities that increase sleepiness is not recommended. Sitting for long periods or being in warm environments can exacerbate daytime sleepiness and make it harder to stay awake. People with narcolepsy should avoid these situations and instead focus on strategies that help them stay alert and manage their sleepiness effectively.
D. Avoiding naps is generally not advised for individuals with narcolepsy. Controlled, planned naps can help manage excessive daytime sleepiness and improve overall function. Instead of avoiding naps, the focus should be on managing nap times effectively to help mitigate the symptoms of narcolepsy and maintain a regular sleep-wake schedule.
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