A nursing educator is reviewing the care of patients with feeding tubes and endotracheal tubes (ET). The educator has emphasized the need to check for tube placement in the stomach as well as residual volume
What is the main purpose of this nursing action?
A) Prevent gastric ulcers
B) Prevent aspiration
C) Prevent abdominal distention
D) Prevent diarrhea
Ans: B
Feedback:
Protecting the client from aspirating is essential because aspiration can cause pneumonia, a potentially life-threatening disorder. Gastric ulcers are not a common complication of tube feeding in clients with ET tubes. Abdominal distention and diarrhea can both be associated with tube feeding, but prevention of these problems is not the primary rationale for confirming placement.
You might also like to view...
A client with schizophrenia has developed tardive dyskinesia secondary to a psychotropic medication. When a family member ask the nurse if anything can be done to stop the symptoms, the nurse explains:
A) "The physician will probably order an anticholinergic medication to reduce the symptoms." B) "If the antipsychotic medication is stopped, these symptoms are reversible." C) "If the lowest effective dose of the medication is given, the symptoms may decrease." D) "Another atypical antipsychotic medication will be given that doesn't have these side effects."
Which of the following questions by a depressed, inpatient, psychiatric–mental health client should the nurse interpret as a potential suicide clue?
A) "Are patients allowed to keep drugstore medications at their bedside?" B) "When is my next schedule ECT session?" C) "When do you think the doctor will let me get my street clothes back?" D) "Are we allowed to use the patient kitchen whenever we want?"
Travis coined the term wellness to help bring to mind the idea of health as holistic rather than merely the absence of disease or illness. Name one of the five dimensions of wellness
What will be an ideal response?
A nurse is assessing a 6-month-old infant. The nurse recognizes the posterior fontanel usually closes at which age?
a. 6 to 8 weeks b. 10 to 12 weeks c. 4 to 6 months d. 8 to 10 months