Practice Question
A nurse is planning care for a toddler who has a new prescription for enteral feedings via a nasojejunal tube. Which of the following interventions should the nurse plan to include?
Answer Choices:
Correct Answer:
Infuse feedings using a mechanical pump.
Rationale:
🔵Nasojejunal feedings bypass the stomach; they should be continuous via pump to prevent dumping and osmotic diarrhea.
🔵A controlled rate maintains steady nutrient delivery and reduces risk of aspiration and reflux.
🔵Pumps allow precise mL/hr adjustments, essential for toddler caloric goals and tolerance.
🔵Bolus jejunal feeds can cause cramping, bloating, and hemodynamic shifts due to rapid osmolar loads.
🔵Standard practice includes pump infusion, HOB elevation, and regular flushes per policy to maintain patency.
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This question is from RN Pediatric Nursing 2023 Exam D which contains 69 questions.
More Questions from This Exam
A nurse is assessing an adolescent who has Cushing's syndrome. Which of the following findings should the nurse expect?
Answer Choices:
A. Hyperglycemia
B. Hyperkalemia
C. Skin thickening
D. Advanced bone age
A nurse is caring for an infant who weighs 7.8 kg (17.2 lb) and was admitted yesterday for treatment of moderate dehydration. Which of the following findings indicates to the nurse that the infant's condition is improving?
Answer Choices:
A. Dry mucous membranes
B. Fontanel is level and soft.
C. Respiratory rate 70/min
D. Capillary refill IS greater than 3 seconds.
A charge nurse is planning care for an infant who has failure to thrive. Which of the following actions should the nurse include in the plan of care?
Answer Choices:
A. Assign consistent nursing staff to care for the infant.
B. Give the infant fruit juice between feedings.
C. Keep the infant in a visually stimulating environment.
D. Use half-strength formula when feeding the infant.
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Answer Choices:
A. Restrict the child's strenuous activities for 3 days.
B. Examine the child for skin irritation at the cast edges.
C. Use a hair dryer on cool setting to relieve Itching.
D. Monitor for pallor or swelling in the child's affected hand.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4