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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. "Administer with a full glass of water.": Psyllium is a bulk-forming laxative that absorbs water in the intestines. Sufficient hydration is essential to prevent obstruction or impaction.

B. "Avoid mixing in juice.": Psyllium can be mixed in any non-carbonated liquid, including juice, making this instruction unnecessary.

C. "Fat-soluble vitamin deficiency is common.": Psyllium does not interfere with fat-soluble vitamin absorption, so this statement is incorrect.

D. "Limit the intake of high-fiber foods.": Psyllium complements a high-fiber diet, so restricting fiber is counterproductive.

A. Perforation B. Obstruction C. Infection D. Constipation

Correct Answer is A

Explanation

A. Perforation: A temperature of 102.4° F and abdominal rigidity are suggestive of peritonitis, which is a potential complication of diverticulosis. Perforation of a diverticulum can lead to leakage of intestinal contents into the abdominal cavity, causing infection and inflammation.

B. Obstruction: Although obstruction can occur in diverticulosis, it typically causes symptoms such as bloating, abdominal distention, and pain, not fever and rigidity.

C. Infection: While infection can occur with diverticulosis, fever and rigidity in this scenario are more likely due to perforation leading to peritonitis, which is a more severe condition.

D. Constipation: While constipation can exacerbate diverticulosis, it would not typically cause fever or abdominal rigidity.

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A nurse is preparing to give a tube feeding using a large syringe. What action should the nurse implement before starting the infusion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which instruction will the nurse include in the discharge teaching of a patient taking psyllium?

Correct Answer is A

Explanation

A nurse is caring for a patient diagnosed with diverticulosis and assesses a temperature of 102.4° F and abdominal rigidity. What should the nurse be aware is the most likely cause of these signs and symptoms?

Correct Answer is A

Explanation

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