A client has a 12 F feeding tube that becomes clogged with formula. The tube will be replaced with a 14 F. Which of the following statements is true?
a. The inner diameter will measure 4.6 millimeters.
b. The stylet will remain within the tube after insertion to stabilize its position.
c. The Y port allows for administration of medications and water during the continuous feeding with formula.
d. Some feeding tubes can have dual purposes by providing both intestinal feedings and gastric decompression at the same time.
Q. 2An infant is to be tube-fed for several days. The nurse would advocate for which type tube to be placed?
a. nasoduodenal
b. nasojejunal
c. transnasal
d. orogastric
Q. 3Prior to administering the initial tube feeding following nasogastric tube insertion, the nurse should:
a. verify correct tube placement by x-ray.
b. place the client in a supine position in the bed.
c. aspirate for residual tube feeding contents.
d. place the distal tip of the tube in a glass of water to verify correct placement by absence of bubbling.
Q. 4The client receiving a continuous enteral tube feeding of 450 mOsm/L develops diarrhea. The nurse understands the most likely cause could be:
a. hypertonicity of the solution.
b. too-slow administration of tube feeding.
c. flushing the tube with tap water every eight hours.
d. the enteral formula cannot fully meet nutritional needs.
Q. 5The nurse can facilitate the client's appetite by:
a. suggesting he choose foods that are cooler, easily chewed and swallowed, and reduce the amount/number of foods on the tray.
b. changing the dressing on the abdominal draining wound before the meal arrives.
c. assuring portion sizes are large and attractively presented.
d. helping the client to select hot foods with pungent aromas.
Q. 6The best approach to facilitate the client making better food choices would be:
a. Look for 'reduced-fat' or 'low-fat' on the labels, and that will guarantee you will be significantly lowering fats and kcalories.
b. If you want to be healthy, you will have to cut out bacon, eggs, and sausage for breakfast.
c. You may find that the sweetness of fruits will satisfy your desire for 'something sweet.'
d. Here is a list with 10 behaviors; if you adopt these, you will achieve your goals.
Q. 7Which of the following statements by the client reflects his readiness to learn at this time about making dietary changes?
a. I just let my wife decide what to cook and then I eat it.
b. I felt so bad this time that I'm not going to eat again those things that made me so sick.
c. I didn't sleep well last night...what did you say?
d. I've been waiting all day to watch this game on TV.
Q. 8Clients taking MAO inhibitors, anti-depressant agents, should avoid what foods?
a. aged or fermented foods such as cheeses, wine, beer, pickles, or sauerkraut
b. foods high in vitamin K such as green leafy vegetables
c. processed meats such as bologna, wieners, or Spam
d. milk products, eggs, and meats