A nurse is preparing to give a tube feeding using a large syringe. What action should the nurse implement before starting the infusion?
Flush the tube.
Roll the patient flat.
Check for a residual formula and return the residual to his or her stomach.
Place the end of the tube in water and check for bubbles.
The Correct Answer is A
A. Flush the tube: Flushing the tube before administering a feeding ensures that the tube is patent and free of blockages, which helps prevent aspiration or feeding tube complications.
B. Roll the patient flat: Rolling the patient flat is not necessary for administering a tube feeding, as most feeding tubes are positioned with the head of the bed elevated to reduce the risk of aspiration.
C. Check for a residual formula and return the residual to his or her stomach: While checking for residuals is important for assessing gastric emptying and tolerance to the feeding, it is not the first action before starting the feeding.
D. Place the end of the tube in water and check for bubbles: This action is used to check the placement of the tube (i.e., confirming it is in the stomach or intestine), but it’s not directly related to the initial steps before administering a feeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "No. The color will fade gradually as liver inflammation decreases.": This response provides accurate information and reassurance, addressing the patient's concerns about her appearance while being supportive.
B. "Yes, but cosmetics can disguise the color.": This dismisses the patient’s concerns and is not empathetic or accurate, as jaundice usually resolves when liver function improves.
C. "Yes, but your sclera will return to their previous white color.": While the sclera may clear up, this does not address the entire issue of jaundice affecting skin color.
D. "No. The color will change to freckles.": This is misleading and untrue, potentially worsening the patient's anxiety.
Correct Answer is A
Explanation
A. Serum amylase: Serum amylase levels are typically elevated in cases of acute pancreatitis. Amylase is an enzyme produced by the pancreas, and an elevation indicates pancreatic inflammation or injury.
B. Serum bilirubin: While elevated bilirubin levels can indicate liver or biliary issues, they are not diagnostic for pancreatitis.
C. Serum calcium: Hypocalcemia (low calcium) can be seen in severe acute pancreatitis, but it is not a primary diagnostic indicator for the condition.
D. Serum lipids: Elevated serum lipids (especially triglycerides) can contribute to pancreatitis, but they are not diagnostic for it. Serum amylase and lipase are more specific to the diagnosis of pancreatitis.
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