The nurse is providing care to a client with continuous tube feedings through a nasogastric (NG) tube. The nurse should avoid doing which of the following, which is not part of the standard care for a client receiving enteral nutrition?
1. Check the residual every 4 hours.
2. Check for placement every 4 hours.
3. Hang a new feeding bag every 72 hours.
4. Check for placement prior to administering medications through the tube.
3
Rationale: A feeding bag and tubing should be changed every 24 hours (or per agency protocol) to reduce risk of bacterial contamination. Placement and residual should be checked at least eve-ry 4 hours during administration of continuous tube feedings and prior to giving medications through the tube.
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The nurse is providing care to a child experiencing shock. Which of the following intravenous solutions would the nurse expect to administer?
A) Ringer lactate B) Dextrose 5% and water C) Dextrose 5% and normal saline D) Dextrose 10% and water
Strategies for enhancing the quality of qualitative data as they are being collected include prolonged engagement. What is prolonged engagement?
A) Vivid recording of information including maintenance of an audit trail of key decisions B) Strives at achieving adequate depth of data coverage C) Strives for adequate scope of data coverage D) Process of using multiple referents to draw conclusions about constitutes the truth
The mother of an adolescent recovering from surgery for a fractured leg asks if all pain medication can be non-narcotic, because she does not want her child to become addicted. What should the nurse respond to the mother?
a. "All pain medication is addicting." b. "Addiction to opioids is uncommon when taken for pain." c. "I will give the medication that you request to your child." d. "Teenagers are more likely to become addicted to pain medication than other patients."