NSG 3800 Exam 3 Review – Questions With Verified
Solutions
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Terms in this set (38)
A client receiving tube feedings is C. Keep the client in semi-Fowler position for 1 hour
experiencing diarrhea. The nurse and after feedings
the health care provider suspects that
the client is experiencing dumping
syndrome. What intervention is most
appropriate?
A) Stop the tube feed and aspirate
stomach contents.
B) Increase the hourly feed rate so it
finishes earlier.
C. Keep the client in semi-Fowler
position for 1 hour after feedings
D) Administer fluid replacement by IV.
A nurse is admitting a client to the A) Premature removal of the G tube
postsurgical unit following a
gastrostomy. When planning
assessments, the nurse should be
aware of what potential postoperative
complication of a gastrostomy?
A) Premature removal of the G tube
B) Bowel perforation
C) Constipation
D) Development of peptic ulcer
disease (PUD)
,A nurse is providing care for a client C) Frequent lung auscultation
with a diagnosis of late-stage
Alzheimer disease.
The client has just returned to the
medical unit to begin supplemental
feedings through an NG tube. Which
of the nurse's assessments addresses
this client's most significant potential
complication of feeding?
A) Frequent assessment of the client's
abdominal girth
B) Assessment for hemorrhage from
the nasal insertion site
C) Frequent lung auscultation
D) Vigilant monitoring of the
frequency and character of bowel
movements
The nurse is caring for a client who C) position the client upright
has a nasogastric tube that has been
in place for 2 days. Before
administering a scheduled feeding,
the nurse should
A) ensure that the client has recently
voided.
B) administer 30 to 45 mL of water to
confirm placement.
C) position the client upright.
D) perform a focused gastrointestinal
assessment.
, A client's enteral feedings have been B) Entry of large amounts of water into the small
determined to be too concentrated intestine because of osmotic pressure
based on the client's development of
dumping syndrome. What physiologic
phenomenon caused this client's
complication of enteral feeding?
A) Increased gastric secretion of HCl
and gastrin because of high
osmolality of feeds.
B) Entry of large amounts of water into
the small intestine because of osmotic
pressure
C) Mucosal irritation of the stomach
and small intestine by the high
concentration of the feed
D) Acid-base imbalance resulting from
the high volume of solutes in the feed
A client with dysphagia is scheduled D) Internal and external fixation bolsters secure the
for percutaneous endoscopic tube against the stomach wall.
gastrostomy (PEG) tube insertion and
asks the nurse how the tube will stay
in place. What is the nurse's best
response?
A) Adhesive holds a flange in place
against the abdominal skin.
B) A stitch holds the tube in place
externally.
C) The tube is stitched to the
abdominal skin externally and the
stomach wall internally.
D) Internal and external fixation
bolsters secure the tube against the
stomach wall.
Solutions
Save
Terms in this set (38)
A client receiving tube feedings is C. Keep the client in semi-Fowler position for 1 hour
experiencing diarrhea. The nurse and after feedings
the health care provider suspects that
the client is experiencing dumping
syndrome. What intervention is most
appropriate?
A) Stop the tube feed and aspirate
stomach contents.
B) Increase the hourly feed rate so it
finishes earlier.
C. Keep the client in semi-Fowler
position for 1 hour after feedings
D) Administer fluid replacement by IV.
A nurse is admitting a client to the A) Premature removal of the G tube
postsurgical unit following a
gastrostomy. When planning
assessments, the nurse should be
aware of what potential postoperative
complication of a gastrostomy?
A) Premature removal of the G tube
B) Bowel perforation
C) Constipation
D) Development of peptic ulcer
disease (PUD)
,A nurse is providing care for a client C) Frequent lung auscultation
with a diagnosis of late-stage
Alzheimer disease.
The client has just returned to the
medical unit to begin supplemental
feedings through an NG tube. Which
of the nurse's assessments addresses
this client's most significant potential
complication of feeding?
A) Frequent assessment of the client's
abdominal girth
B) Assessment for hemorrhage from
the nasal insertion site
C) Frequent lung auscultation
D) Vigilant monitoring of the
frequency and character of bowel
movements
The nurse is caring for a client who C) position the client upright
has a nasogastric tube that has been
in place for 2 days. Before
administering a scheduled feeding,
the nurse should
A) ensure that the client has recently
voided.
B) administer 30 to 45 mL of water to
confirm placement.
C) position the client upright.
D) perform a focused gastrointestinal
assessment.
, A client's enteral feedings have been B) Entry of large amounts of water into the small
determined to be too concentrated intestine because of osmotic pressure
based on the client's development of
dumping syndrome. What physiologic
phenomenon caused this client's
complication of enteral feeding?
A) Increased gastric secretion of HCl
and gastrin because of high
osmolality of feeds.
B) Entry of large amounts of water into
the small intestine because of osmotic
pressure
C) Mucosal irritation of the stomach
and small intestine by the high
concentration of the feed
D) Acid-base imbalance resulting from
the high volume of solutes in the feed
A client with dysphagia is scheduled D) Internal and external fixation bolsters secure the
for percutaneous endoscopic tube against the stomach wall.
gastrostomy (PEG) tube insertion and
asks the nurse how the tube will stay
in place. What is the nurse's best
response?
A) Adhesive holds a flange in place
against the abdominal skin.
B) A stitch holds the tube in place
externally.
C) The tube is stitched to the
abdominal skin externally and the
stomach wall internally.
D) Internal and external fixation
bolsters secure the tube against the
stomach wall.
