Question 1 of 6
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Which instruction would the nurse include when teaching a group of new nurses about tube feedings and safety during administration of enteral feedings through a nasoduodenal tube?
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- Check gastric residual volumes hourly.The nurse would check and record gastric residual volumes as prescribed.
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- Lower the head of the bed during the tube feeding.Proper patient positioning decreases the risk for aspiration; hence, the nurse would elevate the head of the bed to a minimum of 30 degrees.
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- Wait for flatus or a bowel movement before feeding.The nurse would initiate enteral feedings without waiting for flatus or a bowel movement after x-ray confirmation of placement or a physician’s prescription.
- Correct
- Obtain radiographic confirmation of newly inserted tubes.The nurse would obtain radiographic confirmation to determine proper positioning of the blindly placed tube.
Question 2 of 6
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The nurse is caring for a patient with a gastric sump pump. Which symptom would be concerning to the nurse? Select all that apply. One, some, or all responses may be correct.
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- BradycardiaGenerally, if a gastric sump pump is working incorrectly the patient will experience discomfort, which would likely raise the heart rate.
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- HungerGenerally, feeling full would be more concerning that decompression is not working adequately.
- Correct
- Increasing shortness of breathThis symptom could signal the intestines are not being decompressed adequately.
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- NauseaNausea and vomiting could signal the intestines are not being decompressed adequately.
- Correct
- Increasing girth of the abdomenIncreasing girth of the abdomen could signal the intestines are not being decompressed adequately.
Question 3 of 6
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Which is the priority nursing intervention when the nurse discovers unexpected blood in the patient’s nasogastric (NG) tube?
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- Document the findings.It is important to document the findings; however, this is not the priority intervention.
- Correct
- Notify the provider.If blood unexpectedly occurs, the provider should be notified.
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- Increase the suction.Increasing the suction could cause further trauma.
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- Irrigate the tube.Irrigating the tube may be necessary to keep it from clotting with blood; however, this is not the priority intervention.
Question 4 of 6
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Which is the priority nursing intervention when the nurse discovers leakage in the pigtail of a Salem sump pump?
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- Instill air into the tube.Instilling a few milliliters into the pigtail is the correct intervention.
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- Notify the provider.Notifying the provider is not necessary at this time.
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- Irrigate the tube.Nothing but air should be instilled through the pigtail.
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- Document the finding.It is important to document the finding; however, it is not the priority intervention.
Question 5 of 6
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When the nurse is caring for a patient with continuous enteral feedings, how many hours’ worth of formula can be added to the bag at a time?
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- 24 hoursThis is too much formula and can cause the growth of bacteria.
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- 4 hoursOnly 4 hours of formula can be added to the bag at a time to prevent bacterial growth.
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- 8 hoursThis is too much formula and can cause the growth of bacteria.
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- 12 hoursThis is too much formula and can cause the growth of bacteria.
Question 6 of 6
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The nurse is caring for a patient requiring intravenous (IV) nutrition. Which of the following prescriptions would the nurse question?
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- Total parenteral nutrition (TPN)TPN is a form of IV tube feeding.
- Correct
- EnteralInfusing an enteral feeding into an IV site can result in death.
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- LipidsLipids are given with PPN to increase caloric intake.
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- Partial parenteral nutrition (PPN)PPN is delivered through a peripheral IV.
