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A client with dementia is discharged home with a percutaneous endoscopic gastrostomy
(PEG) tube in place. A family members receives instructions about how to care for the
tube. Which action observed by the home health nurse indicates that the family member
is effectively managing the client's care?
A. keeps the empty feeding bag attached to the tubing
B. flushes the tube with air after medication is given
C. replaces the tube on a weekly basis
D. elevates the head of the bed after the feeding -CORRECT ANSWER D. elevates the
head of the bed after the feeding
The nurse is preparing to administer a nasogastric tube feeding. List the steps of the
procedure in the order in which they should be performed.
A. instill the prescribed solution
B. monitor the client's output on a regular basis
C. verify the solution to be administered
D. document the client's response to the procedure
E. aspirate the contents of the stomach -CORRECT ANSWER C, E, A, D, B
The nurse is teaching a student nurse about how to administer percutaneous
enterostomal gastrostomy (PEG) tube feeding. Which information would the nurse
include? SATA.
A. keep the head of the client's bed elevated at least 10 degrees
B. connect the tube feeding bag to the client and feeding pump
C. flush with warm water before feeding
D. check the prescription for the correct formula
E. set the correct rate and initiate the pump
F. check for diarrhea -CORRECT ANSWER B, C, D, E, F
A client is being prepared for surgery to have placement of a percutaneous endoscopic
gastrostomy (PEG) tube. The client asks why the PEG tube is preferred over the
existing nasogastric tube that is being used for feedings. Which explanation would the
nurse give for why a PEG tube is preferred for administering a tube feeding?
A. there is less chance of aspiration with a PEG tube
B. the PEG tube does not require a pump
C. self-administration of the tube feeding is possible
D. more tube feeding mixture can be given each time -CORRECT ANSWER A. there is
less chance of aspiration with a PEG tube
, The nurse is preparing to insert a nasogastric (NG) tube for a client to allow continuous
suction. Which tube would the nurse select?
A. levin
B. dobhoff
C. salem sump
D. gastrostomy -CORRECT ANSWER C. salem sump
The nurse provides education to a client who is learning how to self-administer
gastrostomy tube feedings and would include which instruction?
A. administering water after the feeding is completed
B. maintaining the supine position during the feeding
C. heating the feeding solution to slightly above body temperature
D. determining tube placement by instilling water before the feeding -CORRECT
ANSWER A. administering water after the feeding is completed
A health care provider prescribes an intermittent enteral tube feeding for a client with a
nasogastric tube. Place the nursing interventions in the order in which they should be
implemented.
A. elevate the head of the bed to at least 30 degrees
B. verify the health care provider's prescription
C. administer the volume of feeding as per the prescription
D. flush the tube with 30 mL of water after the feeding
E. check the volume of residual against the parameters prescribed -CORRECT
ANSWER B, A, E, C, D
A client is receiving intermittent nasogastric (NG) tube feedings to supplement oral
nutritional intake. The nurse administers the feeding over 30 to 60 minutes to reduce
which hazard?
A. distention
B. flatulence
C. indigestion
D. regurgitation -CORRECT ANSWER D. regurgitation
Which statement by a client who is receiving total parenteral nutrition (TPN) after
extensive colon surgery indicates effective teaching?
A. "TPN provides supplemental nutrition"
B. "TPN provides short-term nutrition after surgery"
C. "TPN provides total nutrition when gastrointestinal function is questionable"
D. "TPN assists people who are unable to eat but have active gastrointestinal function" -
CORRECT ANSWER C. "TPN provides total nutrition when gastrointestinal function is
questionable"
Three days after admission to the hospital for a cerebrovascular accident (CVA), a client
has a nasogastric tube inserted and is receiving continuous tube feedings. Which action
would the nurse take to evaluate whether the feeding is being absorbed?
A. aspirate for a residual volume