The nurse administering a bolus tube feeding inserts a 60 mL syringe into the tube. After pouring formula into the syringe, where should the nurse hold the syringe?
1. 1-3 inches above the ostomy opening
2. 3-6 inches above the ostomy opening
3. 5-10 inches above the ostomy opening
4. 12 inches above the ostomy opening
Correct Answer: 2
The syringe is held 3-6 inches above the ostomy opening and adjusted as needed to avoid having the formula infuse too quickly or too slowly.
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A nurse is constructing a teaching plan for a patient with a hiatal hernia. What should be included in this plan to help reduce the complaints of heartburn, regurgitation, and eructation?
a. Eating three well-balanced meals b. Lying down 1 hour after eating c. Sleeping without pillows d. Eating nothing for several hours before bedtime
The client with osteomalacia is depressed and anxious about the outcome of the illness. The most beneficial nursing response would be
a. "Cortisone and active weight-bearing exercises will reduce the symptoms." b. "Don't worry; some adjustments in lifestyle can offer a normal life expectancy." c. "I can see you are upset. Did the doctor tell you this is easy to treat and control?" d. "Treatment with high-dose calcium supplements will correct the disorder."
Which nursing intervention best demonstrates an understanding of the relationship be-tween confirmed intravenous drug abuse and specific infections?
a. Screening the patient for hepatitis B virus (HBV) b. Assessing the patient for potentially infected injection sites c. Determining if the patient has ever been tested for human immunodeficiency vi-rus (HIV) d. Evaluating the patient's understanding of the increased risk for developing sex-ually transmitted diseases
What is a cause of pernicious anemia?
a. An iron deficiency
b. A deficiency of vitamin B12
c. Low serum potassium level
d. Blood loss