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B nursing professional standards c absence of family

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b. Nursing professional standards.c. Absence of family input.d. Patient input only.a. Published standards.In creating a plan of care to meet the nutritional needs of the patient, the nurse needs to explore thepatient's feelings about weight and food. The nurse must do this toa. Determine which category of plan to use.b. Set realistic goals for the patient.c. Mutually plan goals with patient and team.d. Prevent the need for a dietitian consult.c. Mutually plan goals with patient and team.The patient is admitted with facial trauma, including a broken nose, and has a history of esophagealreflux and of aspiration pneumonia. Given this information, which of the following tubes is appropriatefor this patient?a. Nasogastric tubeb. Percutaneous endoscopic gastrostomy (PEG) tubec. Nasointestinal tubed. Jejunostomy tube
d. Jejunostomy tubeThe nurse is preparing to insert a nasogastric tube in a patient who is semiconscious. To determine thelength of the tube needed to be inserted, the nurse measures from the:a. Tip of the nose to the xiphoid process of the sternum.b. Earlobe to the xiphoid process of the sternum.c. Tip of the nose to the earlobe.d. Tip of the nose to the earlobe to the xiphoid process.d. Tip of the nose to the earlobe to the xiphoid process.Before giving the patient an intermittent tube feeding, the nurse shoulda. Make sure that the tube is secured to the gown with a safety pin.b. Have the tube feeding at room temperature.c. Inject air into the stomach via the tube and auscultate.d. Place the patient in a supine position.b. Have the tube feeding at room temperature.At present, the most reliable method for verification of placement of small-bore feeding tubes isa. Auscultation.b. Aspiration of contents.c. X-ray.d. pH testing.c. X-ray.The nurse is concerned about pulmonary aspiration when providing her patient with tube feedings. Thenurse shoulda. Verify tube placement before feeding.b. Lower the head of the bed to a supine position.c. Add blue food coloring to the enteral formula.d. Run the formula over 12 hours to decrease volume.a. Verify tube placement before feeding.The patient is to receive multiple medications via the nasogastric tube. The nurse is concerned that thetube may become clogged. To prevent this, the nurse:a. Irrigates the tube with 60 mL of water after all medications are given.b. Checks with the pharmacy to find out if liquid forms of the medications are available.c. Instills nonliquid medications without diluting.d. Mixes all medications together to decrease the number of administrations.b. Checks with the pharmacy to find out if liquid forms of the medications are available.
The patient has just started on enteral feedings but is complaining of abdominal cramping. The nurseshoulda. Slow the rate of tube feeding.b. Instill cold formula to "numb" the stomach.

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Term
Summer
Professor
N/A
Tags
Blood sugar, Catheter, Feeding tube, nurses notes

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