For a client receiving enteral nutrition, which intervention is the nurse most likely to implement to reduce the risk of aspiration?
1. Administering the formula at room temperature
2. Elevating the head of the bed to 30 degrees
3. Administering an antidiarrheal agent
4. Adding fiber to the formula
Correct Answer: 2
Rationale 1: Administering the formula at room temperature helps to decrease nausea and vomiting.
Rationale 2: The risk of aspiration is increased when a client is supine. Elevating the head of the bed to 30 degrees during continuous feeding, and 30 minutes after a feeding, will decrease the risk of aspiration.
Rationale 3: An antidiarrheal agent is administered to manage diarrhea.
Rationale 4: Fiber is added to reduce diarrhea.
Global Rationale: The risk of aspiration is increased when a client is supine. Elevating the head of the bed to 30 degrees during continuous feeding, and 30 minutes after a feeding, will decrease the risk of aspiration. The other options are useful to reduce nausea or diarrhea.
You might also like to view...
A 55-year-old man's hypertension has not responded adequately to his current medication regimen consisting or an ACE inhibitor, a beta-blocker and a thiazide diuretic
As a result, he will soon begin taking hydralazine (Apresoline) in addition to his existing antihypertensives. The addition of this medication to his regimen means that the nurse must prioritize which of the following nursing actions? A) Close monitoring of the patient's electrolyte levels B) Supervision of the patient when performing activities of daily living C) Frequent assessment of the patient's cardiac status D) Checking the patient's blood glucose levels before each meal and at bedtime
Which of the following instructions will the nurse provide to a patient with inflammatory bowel disease regarding nutritional management of this condition?
A) Consume a bland, high-residue, high-protein, and high-vitamin diet. B) Consume a bland, low-residue, low-protein and low-vitamin diet. C) Consume a bland, low-residue, high-protein, and high-vitamin diet. D) Consume a bland, high-residue, low-protein, and low-vitamin diet.
A group of nurse managers wishes to develop more expert nurses in the hospital. Which activities should they plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Encourage the development of critical thinking skills. 2. Require that all nurses go back to school for an advanced degree. 3. Schedule sessions that will allow nurses to reflect on the care provided over a specific period of time. 4. Encourage examination of alternate solutions to common nursing problems. 5. Encourage strict adherence to all unit protocols.
A nurse is facilitating the building of community partnerships. Which of the following abilities must the nurse possess?
a. Create seamless systems of care b. Lobby with legislators c. Listen and collaborate with lay community members d. Coordinate care across agencies