A nurse is preparing to administer an intermittent enteral feeding through a small-bore NG tube. Which of the following actions should the nurse take before initiating the feeding?

Flush the tube with 5 mL of water.

Test the pH of fluid aspirated from the tube.

Inject air through the tubing and auscultate for gurgling sounds:

Change the bag and tubing system every 12 hr

Answer and Explanation

The Correct Answer is B

A. Flush the tube with 5 mL of water:

Explanation: Flushing the tube with water is a routine practice before and after administering medications or feedings to maintain tube patency. However, it is not the primary action to confirm tube placement.

B. Test the pH of fluid aspirated from the tube (Correct Answer):

Explanation: Testing the pH of aspirated fluid helps confirm that the tube is in the stomach. A pH between 1 and 5 is generally indicative of gastric placement.

C. Inject air through the tubing and auscultate for gurgling sounds:

Explanation: This method is an older practice and is not recommended as a reliable method for verifying tube placement. Testing the pH is a more accurate and preferred method.

D. Change the bag and tubing system every 12 hr:

Explanation: Changing the bag and tubing system every 12 hours is a routine practice to maintain the integrity of the enteral feeding system. However, it is not specifically related to the initial steps in verifying tube placement.

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Correct Answer is ["125"]

Explanation

To calculate the IV pump rate (mL/hr), you can use the following formula:

Rate (mL/hr) = Total Volume (mL)/Total Time (hr)

In this case:

Rate=500 mL/4 hr

Rate=125mL/hr

Therefore, the nurse should set the IV pump to deliver 125 mL/hr for the lactated Ringer's IV infusion over 4 hours, rounded to the nearest whole number.

A. Notify the charge nurse of the error. B. Contact the provider. C. Check the client for a change in condition. D. Complete an incident report.

Correct Answer is C

Explanation

A.Notifying the charge nurse is an important action, as it ensures that other team members are aware of the error and can support corrective actions. However, this is not the first action the nurse should take, as assessing the client’s condition takes priority.

B.Informing the provider about the error is essential to allow for any additional orders or corrective measures, such as treatments to mitigate adverse effects. However, the nurse should first assess the client for any changes in condition to report specific findings to the provider if an intervention is needed.

C.Assessing the client’s condition is the first priority when a medication error is discovered. This action helps determine whether the incorrect dose has affected the client, allowing the nurse to provide immediate care if needed.

D.Completing an incident report is necessary to document the error, allowing the facility to review and address any procedural gaps. However, completing the report is not an immediate action in terms of client safety and should occur after assessing the client and notifying the necessary parties.

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A nurse is preparing to administer an intermittent enteral feeding through a small-bore NG tube. Which of the following actions should the nurse take before initiating the feeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer lactated Ringer's 500 mL IV to infuse over 4 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["125"]

Explanation

A nurse is preparing to administer a medication to a client and discovers that the incorrect dose of medication was administered during the previous shift. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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