The physician orders epoetin 30,000 units subcutaneously for anemia.

The medication is per the provided label on the supplemental exam sheet.

How many milliliters will the nurse administer? SEE LABEL #1 for drug availability.

Choice A rationale

Checking gastric residual volume is essential before administering enteral feedings and medications to assess for delayed gastric emptying, which could increase the risk of aspiration. A high residual volume (typically >500 mL or >250 mL on two consecutive checks) may indicate intolerance to the feeding.

Choice B rationale

Turning the client on their left side after administering enteral feedings and medications is not the recommended position. The right lateral decubitus position is preferred as it promotes gastric emptying by allowing gravity to assist the flow of the feeding into the small intestine.

Choice C rationale

Elevating the head of the bed to a 30-45 degree angle during and for at least 30-60 minutes after enteral feedings significantly reduces the risk of aspiration pneumonia. This position utilizes gravity to help keep the feeding within the stomach and prevent reflux into the esophagus and airway.

Choice D rationale

Leaving the client in their position of comfort while feeding them is incorrect. Maintaining an elevated head of bed position (30-45 degrees) is crucial during and after feeding to prevent aspiration, regardless of the client's perceived comfort. A flat or semi-recumbent position increases the risk of regurgitation and subsequent aspiration into the lungs.

Choice A rationale

High-fiber cereals are generally avoided on a soft diet because their roughage content can be difficult to digest and may cause gastrointestinal discomfort. A soft diet aims to minimize digestive work.

Choice B rationale

Fruit with the skin contains a significant amount of fiber, which is not appropriate for a soft diet. The skin is often the toughest part of the fruit and requires more digestion.

Choice C rationale

Raw vegetables are typically high in fiber and have a firm texture, making them difficult to chew and digest for individuals on a soft diet. Cooking vegetables softens their fibers.

Choice D rationale

Ground beef, when cooked thoroughly and is tender, is a suitable protein source for a soft diet. The grinding process breaks down the muscle fibers, making it easier to chew and digest compared to whole cuts of meat.