A nurse is providing care for a patient with a diagnosis of late-stage Alzheimer's disease. The patient has just returned to the medical unit to begin supplemental feedings through an NG tube
Which of the nurse's assessments addresses this patient's most significant potential complication of feeding?
A) Frequent assessment of the patient's abdominal girth
B) Assessment for hemorrhage from the nasal insertion site
C) Frequent lung auscultation
D) Vigilant monitoring of the frequency and character of bowel movements
Ans: C
Feedback:
Aspiration is a risk associated with tube feeding; this risk may be exacerbated by the patient's cognitive deficits. Consequently, the nurse should auscultate the patient's lungs and monitor oxygen saturation closely. Bowel function is important, but the risk for aspiration is a priority. Hemorrhage is highly unlikely and the patient's abdominal girth is not a main focus of assessment.
You might also like to view...
The physician has ordered 100 units of regular insulin in 250 mL of NS. It is to infuse at 8 units/hour per infusion pump. What is the correct IV rate in mL/hr? Round off to the closest whole number
What will be an ideal response?
The patient who is delirious usually maintains orientation to:
a. time. b. place. c. person. d. circumstance.
It is suspected that a client has developed peptic ulcer disease (PUD). Which information should the nurse provide this client regarding projected course of treatment?
1. You will be started on an antibiotic. 2. You will be tested for the presence of H. pylori. 3. You may be directed to take Pepto-Bismol along with your other medications. 4. You should plan on taking medication for 4 to 8 weeks. 5. There are some lifestyle changes you can take to make therapy more successful.
A 60-year-old male client with hemiplegia is to be discharged from the healthcare facility. Which resource should the nurse tell the client to visit with regard to medical reimbursement?
A) Client case manager B) Laboratory instructor C) Hospital administrator D) Attending physician