NUR105 M5.6: ATI-Video Case Studies: Nutrition, Management of Enteral Nutrition
Enteral nutrition is an essential aspect of patient care, especially for those who are unable to consume oral nutrition. Here are the questions and answers related to managing enteral nutrition:
- A nurse is testing the pH of gastric contents before administering a bolus enteral tube feeding for a client. Which of the following pH results should the nurse identify as gastric secretions? pH of 3.5.NUR105 M5.6: ATI-Video Case Studies
Explanation: Gastric secretions typically have a low pH due to the presence of hydrochloric acid in the stomach. A pH of 3.5 would indicate gastric secretions and is the expected pH range for the stomach.
- A nurse is aspirating a client’s secretions from an NG tube before administering the client’s bolus enteral feeding. Which of the following actions should the nurse take?NUR105 M5.6: ATI-Video Case Studies
Verify tube placement with radiography when the pH value is greater than 6.5.
Explanation: When aspirating secretions from an NG tube, if the pH value is greater than 6.5, this indicates the tube may not be in the stomach, and the nurse should confirm its placement through radiography before administering any feedings. This is crucial to prevent complications.
- A nurse is planning to administer intermittent enteral feedings for a client who has a gastrostomy tube. Which of the following actions should the nurse plan to take?NUR105 M5.6: ATI-Video Case Studies
Allow 30 min for each feeding.
Explanation: Intermittent enteral feedings through a gastrostomy tube typically require approximately 30 minutes for each feeding. This allows for the controlled administration of the feeding and minimizes the risk of complications.
- A nurse is teaching a client about the administration of enteral feedings through an NG tube. Which of the following instructions should the nurse include in the teaching?
Feedings through the NG tube can last 3 to 4 weeks.
Explanation: When teaching a client about administering enteral feedings through an NG tube, it’s important to provide information on the duration. NG tube feedings can typically last for 3 to 4 weeks before the tube needs to be repositioned or replaced.
- A nurse is inserting an NG tube for a client who is beginning enteral feedings. Which of the following actions should the nurse take to verify tube placement before administering the initial feeding?
Obtain a radiography.
Explanation: To ensure the correct placement of an NG tube before administering the initial feeding, a radiography should be performed. This is a standard practice to confirm that the tube is in the stomach and not in the respiratory or other unintended areas.
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