{"id":136552,"date":"2024-09-10T20:59:56","date_gmt":"2024-09-10T20:59:56","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=136552"},"modified":"2024-09-10T20:59:58","modified_gmt":"2024-09-10T20:59:58","slug":"a-nurse-is-planning-care-for-a-client-who-has-a-prescription-for-continuous-enteral-feedings-through-an-ng-tube","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/10\/a-nurse-is-planning-care-for-a-client-who-has-a-prescription-for-continuous-enteral-feedings-through-an-ng-tube\/","title":{"rendered":"A nurse is planning care for a client who has a prescription for continuous enteral feedings through an NG tube"},"content":{"rendered":"\n<p>A nurse is planning care for a client who has a prescription for continuous enteral feedings through an NG tube.<\/p>\n\n\n\n<p>Which of the following actions should the nurse plan to take?<\/p>\n\n\n\n<p>A.<br>Measure gastric residual volumes every 4 hr.<\/p>\n\n\n\n<p>B.<br>Advance the rate of the feeding every 2 hr.<\/p>\n\n\n\n<p>C.<br>Maintain the head of the bed at a 20\u00b0 angle.<\/p>\n\n\n\n<p>D.<br>Flush the NG tube with 30 mL 0.9% sodium chloride before and after medication<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is <strong>A. Measure gastric residual volumes every 4 hours.<\/strong><\/p>\n\n\n\n<p><strong>Explanation:<\/strong><\/p>\n\n\n\n<p>When caring for a client receiving continuous enteral feedings through a nasogastric (NG) tube, monitoring gastric residual volumes is a crucial part of care. Gastric residual volumes indicate how well the stomach is processing the enteral feed. High residual volumes can suggest delayed gastric emptying, which might increase the risk of aspiration or cause nausea and vomiting. Measuring residual volumes every 4 hours helps assess gastric motility and ensures that the feedings are being tolerated effectively.<\/p>\n\n\n\n<p>Here\u2019s why the other options are not as appropriate:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>B. Advance the rate of the feeding every 2 hours<\/strong>: The feeding rate should only be advanced according to the specific plan set by the healthcare provider and based on the patient\u2019s tolerance. Frequent changes in feeding rate could risk complications, so any adjustments should be made cautiously and with proper assessment.<\/li>\n\n\n\n<li><strong>C. Maintain the head of the bed at a 20\u00b0 angle<\/strong>: To minimize the risk of aspiration and to help with digestion, the head of the bed should generally be maintained at a higher angle, typically 30-45 degrees, rather than 20 degrees. A lower angle might not provide adequate protection against aspiration.<\/li>\n\n\n\n<li><strong>D. Flush the NG tube with 30 mL 0.9% sodium chloride before and after medication<\/strong>: While flushing the NG tube is important to maintain tube patency and ensure proper delivery of medications, the standard practice is to use 30-60 mL of water rather than sodium chloride, unless specifically prescribed otherwise. Sodium chloride is generally not necessary for routine flushing unless there is a specific clinical indication.<\/li>\n<\/ul>\n\n\n\n<p>Overall, regular assessment of gastric residual volumes ensures that the patient is handling the enteral feedings well and can help in preventing potential complications associated with enteral nutrition.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is planning care for a client who has a prescription for continuous enteral feedings through an NG tube. Which of the following actions should the nurse plan to take? A.Measure gastric residual volumes every 4 hr. B.Advance the rate of the feeding every 2 hr. C.Maintain the head of the bed at a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-136552","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136552","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=136552"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136552\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=136552"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=136552"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=136552"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}