A Nurse is Administering a Continuous Enteral Feeding
1. A nurse is administering continuous enteral feedings for a...
1. A nurse is administering continuous enteral feedings for a client through a percutaneous esophageal gastrostomy (PEG) tube. Which of the following actions should the nurse take?
- Check gastric residuals every 8 hr.
- Flush the tube with 15ml of water every 8hr.
- Measure the pH of gastric residual every 24hr.
- Return gastric contents if residual is less than 250 ml
2. A nurse is teaching a client who is receiving bolus feedings through a nasogastric tube about dumping syndrome. The nurse should instruct the client to report which of the following manifestations?
- Drowsiness
- Dizziness
- Constipation
- Bradycardia
3. A nurse is teaching a group of clients about risk factors for developing diabetes mellitus. The nurse should include which of the following as a risk. For factor diabetes
- History of hypertension
- Elevated HDL Level
- Abdominal obesity
- History if hypotension
4. A nurse is teaching a client who is 24 postpartum about breastfeeding. Which of the following clients' statements indicated an understanding if the teaching?
- "I will store my breastmilk in the refrigerator up to 48 hours"
- "I will alternate the first breast that I offer my baby with each feeding"
- "I will nurse my baby once every 4 hours"
- "I will offer my baby water between feedings
- 5. A nurse is providing dietary teaching to a client about sources of protein. The nurse should identify which of the following items as a complete protein
- Salmon
- Legumes
- Gelatin
- Almonds
- 6. A nurse is providing anticipatory guidance to a client who has phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?
- A low-protein diet should be followed for 3 months prior to conception
- Breastfeeding will prevent your baby from developing PKU
- Diet sodas should not be consumed more than two or three times
- Serum bilirubin should be monitored one or two times per month during pregnancy
7. A nurse is developing a plan of care for a client who recovering from a stroke and is experiencing dysphagia and right-sided weakness. Which of the following interventions should the nurse include in the plan of care?
- Instruct the client to tilt their head back when swallowing
- Provide a nonskid placement for the client at meals
- Provide narrow-grip utensils during meals
- Instruct the client to chew food on the right side of their mouth
8. A nurse is caring for a client who is receiving chemotherapy treatments. The clients' states "I feel so nauseated after my treatments." Which of the following instructions should the nurse provide the clients? (Select all that apply)
- Eat foods low in carbohydrates
- Sip fluids slowly throughout the day
- Sit up for 1hr after eating meals
- Consume foods that are served cold
- Limit use of antiemetics until after first emesis
9. A nurse is teaching the family of a school-age child who is obese about complications of childhood obesity. Which of the following complications should the nurse include in the teaching?
- Hypothyroidism
- Hypertension
- Type 1 diabetes mellitus
- Juvenile rheumatoid arthritis
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