Which of the following is the most important safety precaution to take when administering enteral feeding to a patient?

Check the expiry date of the feeding formula

Flush the tube with water before and after feeding

Ensure the feeding tube is correctly positioned before starting the feeding

Administer the feeding at room temperature

Answer and Explanation

The Correct Answer is C

A. Check the expiry date of the feeding formula: While confirming the formula is within its expiration date is important to prevent infection or spoilage, it does not directly prevent the most serious risk associated with enteral feeding.

B. Flush the tube with water before and after feeding: Flushing the tube maintains patency and prevents clogging, which is important for long-term tube care but does not address immediate patient safety.

C. Ensure the feeding tube is correctly positioned before starting the feeding: Verifying correct tube placement is the most critical safety measure because improper positioning can result in aspiration, pneumonia, or feeding into the lungs, which can be life-threatening.

D. Administer the feeding at room temperature: Feeding at room temperature improves tolerance and reduces gastrointestinal discomfort, but it does not prevent severe complications like aspiration, making it secondary to verifying tube placement.

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Correct Answer is D

Explanation

A. Battery: Battery refers to intentional physical contact without consent, such as touching or performing a procedure against the client’s will. While restraining involves physical action, in this case the central issue is unlawful restriction of movement rather than contact itself.

B. Invasion of privacy: Invasion of privacy involves disclosing personal information without consent or intruding on a client’s personal life. Preventing a client from leaving the hospital does not involve misuse of private information, so this principle does not apply here.

C. Assault: Assault occurs when a person threatens another with harm, causing fear of imminent danger without actual physical contact. Restraining the client does not involve threats but rather physical restriction, making assault an inaccurate classification.

D. False imprisonment: False imprisonment is the unlawful restriction of a person’s freedom of movement without justification or consent. Forcing a competent client to remain in the hospital against their will by using restraints violates the client’s legal rights.

A. Glaucoma B. Depression C. Migraines D. Asthma

Correct Answer is D

Explanation

A. Glaucoma: Propranolol is not contraindicated in clients with glaucoma. In fact, beta-blocker eye drops such as timolol are sometimes prescribed to reduce intraocular pressure, showing that this condition does not pose a risk with propranolol therapy.

B. Depression: While propranolol can occasionally worsen depressive symptoms, depression is considered a precaution rather than a strict contraindication. The benefits of blood pressure control often outweigh this risk, provided the client is closely monitored.

C. Migraines: Propranolol is frequently prescribed as a preventive treatment for migraines due to its effectiveness in reducing frequency and severity. Therefore, a history of migraines is not a contraindication but rather a therapeutic indication.

D. Asthma: Propranolol is contraindicated in clients with asthma because its nonselective beta-blocking effect can cause bronchoconstriction. Blocking beta-2 receptors in the lungs increases the risk of bronchospasm, which can trigger life-threatening respiratory complications in asthmatic clients.

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Which of the following is the most important safety precaution to take when administering enteral feeding to a patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

Correct Answer is D

Explanation

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