A tracheostomy patient is experiencing regurgitation of tube feeding formula. What should be the nurse's first priority?
Placing the patient in prone position to improve draining from mouth
Checking to make sure the tracheostomy cuff is inflated during tube feedings
Placing the patient in the right lateral decubitus position to promote gastric emptying
Discussing the use of metoclopramide to facilitate gastric motility with the practitioner
The Correct Answer is B
A. The prone position is not recommended for managing tube feeding regurgitation, as it could lead to aspiration into the lungs.
B. The first priority is to ensure that the tracheostomy cuff is inflated during tube feedings to prevent aspiration and to ensure that the feeding is directed into the stomach and not into the airway.
C. The lateral decubitus position can help with gastric emptying, but the priority is to ensure proper cuff inflation to prevent aspiration.
D. While metoclopramide may help with gastric motility, the immediate concern is managing the risk of aspiration, which requires confirming cuff inflation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Respiratory acidosis is correct because the patient has a low pH (acidosis) and elevated PaCO₂, indicating hypoventilation as the primary cause.
B. Metabolic alkalosis is incorrect because bicarbonate is within the normal range, and there is no metabolic compensation.
C. Respiratory alkalosis is incorrect because alkalosis would present with a high pH and low PaCO₂, the opposite of this scenario.
D. Metabolic acidosis is incorrect because bicarbonate is normal, ruling out a metabolic cause.
Correct Answer is B
Explanation
A. The prone position is not recommended for managing tube feeding regurgitation, as it could lead to aspiration into the lungs.
B. The first priority is to ensure that the tracheostomy cuff is inflated during tube feedings to prevent aspiration and to ensure that the feeding is directed into the stomach and not into the airway.
C. The lateral decubitus position can help with gastric emptying, but the priority is to ensure proper cuff inflation to prevent aspiration.
D. While metoclopramide may help with gastric motility, the immediate concern is managing the risk of aspiration, which requires confirming cuff inflation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.