The nurse is checking the residual content for a client who is receiving intermittent feedings. Which residual content, if obtained, would lead the nurse to delay the feeding?
A) 30 mL
B) 60 mL
C) 90 mL
D) 120 mL
D
Feedback:
Feedings typically are delayed if the residual content measures more than 100 mL for intermittent feedings or 10% to 20% of the hourly amount of a continuous feeding. Thus, a residual content of 120 mL would require the nurse to delay the feeding.
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The nurse reviewing blood gas results notices that the pH and the carbon dioxide are moving in opposite directions. The primary problem is:
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