A nurse is caring for a patient who is receiving intermittent gravity feedings through a gastrostomy tube. The patient experiences abdominal discomfort. Which action is best for the nurse to take?
a. Cool the formula.
b. Readjust the tube.
c. Decrease the administration rate.
d. Increase the concentration of the formula.
C
Gradual emptying of tube feeding by gravity reduces risk for abdominal discomfort, vomiting, or diarrhea induced by bolus or too-rapid infusion of tube feedings. It is the patient's meal and should be delivered in the amount of the time a well-tolerated meal is eaten. Feedings should be at room temperature. Cold formula causes gastric cramping and discomfort. Always determine tube placement, not readjustment, before beginning tube feedings. Always administer feedings as prescribed to ensure that the patient is receiving the ordered nutrients. Increasing the concentration of the formula will cause the patient to receive an inappropriate amount.
You might also like to view...
The nurse knows that standardized care plans may be available and:
a. need to be individualized for each patient. b. are implemented without adjustment. c. remove the need for nurse involvement. d. do not require the use of nursing diagnoses.
The nurse preparing a patient care plan utilizes the nursing diagnosis Enhanced Spiritual Well-Being to address which aspects of the patient? (Select all that apply.)
1. Sense of inner peace 2. Sense of meaning 3. Sense of world unity 4. Sense of purpose in life 5. Sense of relationship with others
A child with human immunodeficiency virus (HIV) also has oral candidiasis. Mouth care for this child should be with:
1. Normal saline. 2. Listerine. 3. Scope. 4. Viscous lidocaine.
Which statements most clearly indicate that the speaker views mental illness with stigma? Select all that apply
a. "We are all a little bit crazy." b. "If people with mental illness would go to church, their problems would be solved." c. "Many mental illnesses are genetically transmitted. It's no one's fault that the illness occurs." d. "Anyone can have a mental illness. War or natural disasters can be too stressful for healthy people." e. "People with mental illness are lazy. They get government disability checks instead of working."