Practice Question
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 take prior to administering the tube feeding?
Answer Choices:
Correct Answer:
Test the pH of gastric aspirate.
Rationale:
Before administering an enteral feeding, the nurse must verify NG tube placement to prevent aspiration. Checking gastric pH (should be ≤5.5) ensures the tube is in the stomach. Incorrect placement can lead to serious complications like aspiration pneumonia.
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This question is from Nurs 105 Fundamentals Final Exam which contains 49 questions.
More Questions from This Exam
A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including an H2 receptor antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic?
Answer Choices:
A. Cessation of diarrhea
B. Relief of heartburn
C. Absence of constipation
D. Passage of flatus
A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?
Answer Choices:
A. Assume a narrow base of support.
B. Lean the client toward the wall.
C. Provide support by holding the client's arm.
D. Lower the client to the floor.
A nurse is providing teaching to a client who is pregnant and is vegan. The nurse should instruct the client that which of the following foods is a reliable source of Vitamin B12?
Answer Choices:
A. Sunflower margarine
B. Algae
C. Sea vegetables
D. Tempeh
A nurse is caring for a client who has emphysema and has difficulty with mobility. The client receives home health care and spends most of his day in a reclining chair. Which of the following physiological responses to prolonged immobility should the nurse expect?
Answer Choices:
A. Decreased RBC production
B. Increased calcium excretion
C. Increased insulin production
D. Decreased sodium excretion
A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?
Answer Choices:
A. Urine output of 2,200 mL in the past 24 hr
B. Urine output of 175 mL in the past 8 hr
C. First-voided urine in the morning has a strong odor
D. Urine is cloudy after sitting in the urinal for 6 hr
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4
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