A patient receiving enteral feedings may be prescribed to be NPO, what does this mean for the patient?

Nothing by mouth

Nocturnal feedings only

Administer by mouth

Aspirate gastric contents

Answer and Explanation

The Correct Answer is A

a) Nothing by mouth: NPO stands for "Nil Per Os" in Latin, which means "nothing by mouth." This includes all food and fluids, and the patient would receive nutrition through other means such as enteral feedings.

b) Nocturnal feedings only: NPO refers to not taking anything by mouth at all, not just during certain times.

c) Administer by mouth: This would contradict the NPO order, which specifies that nothing should be taken orally.

d) Aspirate gastric contents: This is a procedure used for other purposes (like verifying placement of a tube), but it does not define what "NPO" means.

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Correct Answer is D

Explanation

a) Respiratory Decompression: "Respiratory Decompression" is not a term used in ABG interpretation.

b) Respiratory Alkalosis: Respiratory alkalosis is characterized by a pH greater than 7.45 and a PaCO2 less than 35 mm Hg. In this case, the pH is low (7.31), and the PaCO2 is elevated, which is not consistent with respiratory alkalosis.

c) Respiratory PH: "Respiratory PH" is not a proper ABG term.

d) Respiratory Acidosis: The pH is 7.31, which is acidotic (normal range is 7.35-7.45). The PaCO2 is 50 mm Hg (elevated), indicating that the cause of the acidosis is respiratory in nature, as the kidneys have not yet compensated with HCO3 (bicarbonate).

A. Discontinue the feedings and notify the physician of your assessment findings B. Continue feedings as ordered C. Administer prn pain medication D. This is a normal response, continue feedings as ordered

Correct Answer is A

Explanation

a) Discontinue the feedings and notify the physician of your assessment findings: These are signs of feeding intolerance or possible complications such as delayed gastric emptying, infection, or dumping syndrome. Stopping the feeding prevents further distress, and the physician should be informed promptly.

b) Continue feedings as ordered: Continuing feedings may worsen the symptoms and put the patient at risk for aspiration or further gastrointestinal complications.

c) Administer prn pain medication: Pain medication will not address the underlying issue of nausea, vomiting, and GI symptoms. It may also mask symptoms or cause further GI upset.

d) This is a normal response, continue feedings as ordered: These symptoms are not normal. Nausea, vomiting, distention, and frequent diarrhea suggest a problem with the feeding regimen.

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A patient receiving enteral feedings may be prescribed to be NPO, what does this mean for the patient?

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Naxlex Comprehensive Predictor Exams

Arterial blood gases (ABGs) have been drawn on the client. The nurse reviews the results. pH is 7.31 PaCO2 50 mm Hg (6.65 kPa) HCO3 26 mEq/L (26 mmol/L) How will the nurse interpret these ABG results.

Correct Answer is D

Explanation

Correct Answer is A

Explanation

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