The healthcare provider (HCP) prescribes a continuous delivery of 250 mL half strength tube feeding to be infused every 8 hours for a client with a gastrostomy tube (GT). The practical nurse (PN) should program the enteral pump to deliver how many mL/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
The Correct Answer is ["31"]
Total volume to be infused: 250 mL of tube feeding.
To be infused over 8 hours.
Calculate the infusion rate in mL per hour.
Infusion rate (mL/hour) = Total volume (mL) / Total infusion time (hours)
= 250 mL / 8 hours
= 31.25
Round to the nearest whole number: 31.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. An older adult with a blood pressure of 140/88 mm Hg: This blood pressure is slightly elevated but is common in older adults. It does not require immediate intervention unless accompanied by other concerning symptoms like chest pain or altered mental status.
B. An adult who has a respiratory rate of 18 breaths/minute: A respiratory rate of 18 is within the normal adult range (12–20 breaths/minute) and does not suggest respiratory distress or require urgent intervention.
C. A preschooler with an oral temperature of 98.2° F (36.7° C): This temperature is normal for a preschooler, and no immediate action is needed as it falls well within the expected range for healthy children.
D. A one-month-old infant with a heart rate of 80 beats/minute: A normal heart rate for a one-month-old infant ranges from about 100–160 beats per minute. A heart rate of 80 is dangerously low (bradycardia) for an infant and warrants immediate intervention to assess for respiratory or cardiac compromise.
Correct Answer is A
Explanation
A. Check the medical record to verify the medication's name and strength: The first action is to verify the medication against the medical record to ensure it is the correct drug, dose, and formulation. This prioritizes patient safety by confirming accuracy before administration, preventing possible medication errors.
B. Reassure the client that the blue tablet is the correct medication: Reassuring the client without verifying the medication could risk administering the wrong drug. Even if the nurse believes the medication is correct, professional standards require verification when a discrepancy is noted by the patient.
C. Explain that the tablets are from different manufacturers: Differences in tablet appearance between manufacturers are common, but assuming this without verifying could result in a serious medication error. Visual differences should always be validated against the order and pharmacy records first.
D. Withhold the medication and notify the healthcare provider: Withholding the medication and notifying the healthcare provider may be appropriate if verification reveals a problem. However, the first step is to check the medical record to determine if the medication given matches the prescribed drug and dose.
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