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concept of nursing 1
Enteral nutrition 5
| Question | Answer |
|---|---|
| A patient is receiving a continuous enteral feeding by infusion pump. The nurse enters the patient's room to verify tube placement and measure residual. The nurse notices the patient's respirations are shallow and | -- |
| rapid and that the patient's color is ashen. The nurse notes crackles on auscultation, and the patient appears to be coughing up sputum of a color similar to the formula feeding. What action(s) should the nurse take? | -Position patient on side -Turn off the tube feeding -Suction the patient -Notify the health care provider |
| The nurse is going to irrigate the patient's established feeding tube with 30 mL of tap water before instilling the tube feeding. The nurse attempts to do so without success. What should action should the nurse take? | Reposition the patient. |
| The nurse is going to administer a bolus enteral tube feeding of 240 mL. The nurse has obtained a pH of 4 and 50 mL of gastric aspirate. Based on these findings, what action should the nurse take? | Return the aspirate to the patient’s stomach and administer the feeding. |
| The nurse is going to administer an intermittent tube feeding. Because the patient's feeding tube has been in place for 3 days, which action is best for the nurse to take at this time? | Aspirate gastric contents and test on a pH strip. |
| The patient is presently receiving intermittent tube feedings of 120 mL every 6 hours. The health care provider's orders state: Jevity formula feeding 240 mL every 6 hours per feeding tube, increase per patient tolerance. | -- |
| Which of the following assessment data indicate patient intolerance of the tube feeding and therefore inability of the rate to be increased? | -Diarrhea -Abdominal distention and discomfort -Nausea -Residual volume greater than 500 mL. |
| The patient is receiving a continuous enteral feeding. Which of the following assessment findings would require follow-up? | Gastric residual of 375 mL. |
| Which of the following is an appropriate nursing action to prevent a complication of nasogastric (NG) tube feedings? | Keep the head of the patient’s bed elevated at least 30 degrees. |
| Why is it important to have the tube feeding at room temperature? | Cold formula can cause gastric cramping. |
Created by:
Lightnning54
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