nasogastric intubation and enteral feedings ati

A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse complete prior to administering the tube feeding? Select all that apply a. auscultate bowel sounds b. assist the client to an upright position c. test the pH for gastric aspirate d. warm the formula to body temperature e. discard any residual gastric contents

auscultate bowel sounds, assist the client to an upright position, test the pH of gastric aspirate

A nurse is preparing to insert an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse perform before beginning the procedure? Select all that apply a. review a signal the client can use it feeling any distress b. lay a towel across the clients chest c. administer oral pain medication d. obtain a Dobhoff tube for insertion e. have a petroleum based lubricant available

review a signal the client can use if feeling any distress and lay a towel across the clients chest

A nurse is caring for a client who is receiving continuous enteral feedings. Which of the following nursing interventions is the highest priority when the nurse suspects aspiration of the feeding? a. auscultate breath sounds b. stop the feeding c. obtain a chest x-ray d. initiate oxygen therapy

stop the feeding

A nurse is preparing to instill an enteral feeding for a client who has an NG tube in place. Which of the following actions is the nurses highest assessment priority before performing this procedure? a. check how long the feeding container has been open b. verify the placement of the NG tube c. confirm if the client does not have diarrhea d. make sure the client is alert and oriented

verify the placement of the NG tube

A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent feedings. When the nurse pours water into the syringe after the formula drains from the syringe, the client asks the nurse why the water is necessary. Which of the following is an appropriate response by the nurse? A. "Water helps clear the tube so it doesn't get clogged." B. "Flushing helps make sure the tube stays in place." C. "This will help you get enough fluids." D. "Adding water makes the formula less concentrated."

water helps clear the tube so it doesn't get clogged