Case Study Enteral Nutrition Exam
A nurse is teaching a client about the administration of enteral feedings through an NG tube. Which of the following instructions should the nurse include in the teaching?
"Feedings through the NG tube can last 3 to 4 weeks." The NG tube is inserted for short-term feedings, up to 3 to 4 weeks.
A nurse is planning to administer enteral feedings for a client who has a gastrostomy tube. Which of the following actions should the nurse plan to take?
Allow 30 min for each feeding. The nurse should allow at least 20 to 60 minutes when administering each intermittent enteral feeding to prevent distention and decrease the risk for aspiration.
A nurse is inserting an NG tube for a client who is beginning enteral feedings. Which of the following actions should the nurse take to verify tube placement before administering the initial feeding?
Obtain a radiography. Verification for tube placement with radiography is the gold standard for tube placement before any secretions are aspirated or feedings are initiated.
A nurse is aspirating a a client's secretions from an NG tube before administering the client's bolus enteral feeding. Which of the following actions should the nurse take?
Verify tube placement with radiography when the pH value is greater than 6.5. The nurse should contact the provider to have the feeding tube placement verified with radiography. A pH value greater than 6.5 may indicate that the secretions are respiratory or intestinal.
A nurse is testing the pH of gastric contents before administering a bolus enteral tube feeding for a client. Which of the following pH results should the nurse identify as gastric secretions?
pH of 3.5 The nurse should identify a pH value of 3.5 as gastric secretions. Gastric secretion can have a pH value of 1 to 4.
