Additional teaching is required when the nurse evaluates the provision of the tube feeding and the family member:
A. Keeps the formula refrigerated between feedings
B. Keeps the feeding tube capped between feedings
C. Completes the feeding before checking tube placement
D. Irrigates the tube with 30 to 60 ml of water before and after feedings
C
C. Determine tube placement. Feedings instilled into a misplaced tube may cause serious injury or death.
A. For intermittent feeding have syringe ready and be sure formula is at room temperature.
B. When tube feedings are not being administered, cap or clamp the proximal end of the feeding tube.
D. Draw up 30 ml of normal saline or tap water in syringe. This amount of solution will flush length of tube.
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Diabetic patients often have chronic arterial insufficiency. What findings during examination of the older person's legs would indicate chronic arterial insufficiency?
a. Transparent, shiny, hairless skin b. Varicose veins c. Localized areas of inflammation and redness d. Bilateral pedal edema
A patient's nursing diagnosis is sleep-pattern disturbance. The desired outcome is: Patient will sleep for a minimum of 5 hours nightly by October 31
On November 1, review of sleep data for 6 days shows the patient slept an average of 4 hours nightly and took 2-hour afternoon naps daily. Which evaluation should be documented? a. Consistently demonstrated b. Often demonstrated c. Sometimes demonstrated d. Never demonstrated
A mother brings in her 4-month-old infant for a routine checkup and vaccinations. The mother reports that her child was exposed to the flu. Which nursing action is accurate based on the current data?
1. Withhold the DTaP vaccination but give the others as scheduled. 2. Give the infant the flu vaccination but withhold the others. 3. Give the vaccinations as scheduled. 4. Withhold the vaccinations.
A candidate for the insertion of an oral airway is the individual who is:
A. Vomiting B. Unconscious C. Having upper airway gurgling D. Recovering from an oral trauma