A nurse is preparing to administer an enteral feeding. In which order will the nurse implement the steps, starting with the first one?
1. Elevate head of bed to at least 30 degrees.
2. Check for gastric residual volume.
3. Flush tubing with 30 mL of water.
4. Verify tube placement.
5. Initiate feeding.
a. 4, 2, 1, 5, 3
b. 2, 4, 1, 3, 5
c. 1, 4, 2, 3, 5
d. 2, 1, 4, 5, 3
ANS: C
The steps for an enteral feeding are as follows: Place patient in high-Fowler's position or elevate head of bed to at least 30 (preferably 45) degrees; verify tube placement; check for gastric residual volume; flush tubing with 30 mL of water; and initiate feeding.
You might also like to view...
The nurse is examining a client with a history of benign breast disease. Which findings does the nurse anticipate when assessing this client's breasts? Select all that apply
1. Straw-colored discharge from the nipples. 2. Freely movable masses. 3. Hard, fixed nodules. 4. Thickened breast tissue. 5. Masses with well-defined boundaries.
Which assessment would be most appropriate for a patient who is receiving a loop diuretic for heart failure?
A) Monitor liver function studies. B) Monitor for hypotension. C) Encourage the patient to spend time outdoors to aid in vitamin D absorption. D) Restrict the intake of potassium.
A client scheduled for surgery is being instructed in leg exercises and the pneumatic compression device
The nurse includes these instructions to decrease which postoperative complication? A) Infection B) Delayed wound healing C) Contractures D) Deep vein thrombosis
A patient is receiving an aminoglycoside. The nurse would immediately report which findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. A history of allergy to penicillins 2. A weight gain of 5 kg in 2 days 3. Symptoms of vertigo 4. A fluid intake below 2000 mL/day 5. A peak level lower than anticipated