A nurse is providing care for a patient in a long-term care facility who is receiving enteral feedings via a nasogastric (NG) tube.
What action should the nurse take before administering the tube feeding?

Discard any residual gastric contents.

Position the patient in a low Fowler’s position.

Test the pH of the gastric aspirate.

Warm the feeding solution to body temperature.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Discarding any residual gastric contents before administering the tube feeding is not necessary and could lead to unnecessary loss of nutrients and electrolytes.

Choice B rationale

Positioning the patient in a low Fowler’s position is not the optimal position for administering a tube feeding. The patient should be in an upright position to reduce the risk of aspiration.

Choice C rationale

Testing the pH of the gastric aspirate is an important step before administering a tube feeding. This helps to verify that the feeding tube is in the stomach and not in the lungs.

Choice D rationale

Warming the feeding solution to body temperature is not necessary and could potentially lead to bacterial growth in the feeding solution.

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Correct Answer is B

Explanation

Choice A rationale

While gastric acid can cause dyspepsia, measuring gastric residual is not primarily done to remove gastric acid.

Choice B rationale

Measuring gastric residual is primarily done to identify delayed gastric emptying. This is important because delayed gastric emptying can lead to complications such as aspiration pneumonia.

Choice C rationale

Gastric residual does not directly determine the patient’s electrolyte balance.

Choice D rationale

While confirming the placement of the NG tube is important, it is not the primary purpose of measuring gastric residual.

A. Fill the balloon with the recommended sterile water. B. Remove the catheter, wipe with alcohol, and reinsert after lubrication. C. Leave the catheter in the vagina as a landmark for insertion of a new, sterile catheter. D. Discard the catheter and begin again.

Correct Answer is C

Explanation

If the nurse suspects the catheter is not in the urethra, they should leave the catheter in the vagina as a landmark for insertion of a new, sterile catheter.

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A nurse is providing care for a patient in a long-term care facility who is receiving enteral feedings via a nasogastric (NG) tube.What action should the nurse take before administering the tube feeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who receives intermittent enteral feedings through an NG tube.Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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A nurse is providing care for a patient in a long-term care facility who is receiving enteral feedings via a nasogastric (NG) tube.
What action should the nurse take before administering the tube feeding?