Practice Question
A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Aspirate residual volume every 4hr
Rationale:
⚫For clients on continuous enteral feedings, gastric residuals should be aspirated every 4 hours to evaluate the client’s tolerance to the feeding and detect delayed gastric emptying.
⚫Monitoring GRV at regular intervals helps prevent aspiration, regurgitation, and feeding intolerance.
⚫This practice also informs decisions about adjusting the feeding rate or formula and contributes to early recognition of gastrointestinal dysfunction.
⚫Proper documentation of GRV supports safe nutritional therapy.
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This question is from RN Fundamentals 2019~Exam 2 which contains 54 questions.
More Questions from This Exam
A nurse is delegating client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?
Answer Choices:
A. Inserting an NG tube
B. Performing a simple dressing change
C. Evaluating the healing of an incision
D. Changing IV tubing
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Answer Choices:
A. I will keep my legs crossed while sitting
B. I should massage my legs when they hurt.
C. I should limit the time that I spend sitting in a chair
D. I will perform leg exercises once every 4 hours while I am awake.
A nurse is documenting client care. Which of the following abbreviations should the nurse use?
Answer Choices:
A. SS for sliding scale
B. OJ for orange juice
C. SQ for subcutaneous
D. BRP for bathroom privileges
A nurse is planning care for a client who is concerned about her tobacco smoking habits and is in the contemplation stage of health behavior change. Which of the following actions should the nurse plan to take during this stage?
Answer Choices:
A. Recommend small changes for the client to make to change her behavior over time.
B. Assist the client in setting goals to make the change.
C. Develop a plan for the client to integrate the change into her lifestyle.
D. Present information about the benefits of quitting smoking.
A nurse is caring for a client who is receiving continuous enteral feeding via NG tube. Which of the following is an unexpected finding?
Answer Choices:
A. A weight gain of 0.81 kg (2 lb) in 2 days
B. A blood glucose level of 110 mg/dL
C. Diarrhea one time in a 24-hr period
D. A gastric residual of 300 mL at the end of the shift
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4
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