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. Abdominal tenderness: This can indicate serious complications, such as bowel obstruction or perforation, and must be reported immediately.
B. Abdominal spasms: This is a common side effect of lactulose due to increased bowel motility but is not immediately concerning unless severe.
C. Nausea: A mild, common side effect of lactulose that usually resolves with continued use.
D. Flatulence: A common, benign side effect caused by fermentation of lactulose in the colon.
Correct Answer is C
Explanation
A. Bradycardia, diarrhea, and flushing: Bradycardia is not typically associated with vomiting. Diarrhea is not a direct autonomic symptom of vomiting either.
B. Urinary urgency, chills, and dizziness: These symptoms are not typical of vomiting-related autonomic symptoms.
C. Pallor, sweating, and tachycardia: Pallor, sweating, and tachycardia are common autonomic responses to vomiting due to the body's stress response.
D. Fever, hyperventilation, and bradycardia: Fever and hyperventilation are not typically seen with vomiting. Bradycardia is less common in this context.
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