Deck 19: Feeding Clients

Question 1

The nurse inserts a tube through the client's nose and into the small bowel for enteric feedings.Which term will the nurse use for the tube when documenting this procedure?

A)Orogastric tube
B)Gastrostomy tube
C)Jejunostomy tube
D)Nasojejunal tube

Answer 1

Nasojejunal tube

Question 2

The responsibility for nutritional assessment and support in most health care facilities belongs to which individuals?

A)The client
B)The primary care provider
C)The nurse
D)The dietitian or nutritionist
E)The food service staff

Answer 2

The primary care provider
The nurse
The dietitian or nutritionist

Question 3

The nurse administering a bolus tube feeding inserts a 60 mL syringe into the tube.After pouring formula into the syringe,where should the nurse hold the syringe?

A)1-3 inches above the ostomy opening
B)3-6 inches above the ostomy opening
C)5-10 inches above the ostomy opening
D)12 inches above the ostomy opening

Answer 3

3-6 inches above the ostomy opening

Question 4

The nurse receives a bag of total parenteral nutrition (TPN)for the client.Prior to hanging the solution,which nursing actions are priorities?

A)Checking the expiration date
B)Creating a sterile field
C)Checking the nutrients in the bag against the order written by the primary care provider with another licensed nurse
D)Adding additional medications to the fluid
E)Applying a timing tape to the solution container

Question 5

The nurse is checking the client's nasogastric tube for placement prior to administering the client's first tube feeding.Which is the most accurate means of assessing placement?

A)Checking the pH of stomach contents aspirated from the tube
B)Infusing air into the tube and auscultating for the sound of the air over the stomach
C)Obtaining an x-ray
D)Checking for residual

Question 6

The nurse is administering a bolus tube feeding.Which strategy will be the most effective to reduce the risk of a clogged feeding tube?

A)Flushing the tubing with water before and after feedings and medications
B)Allowing the feeding container to run dry before adding the next container
C)Crushing solid medications and mixing them with formula when administering
D)Aspirating stomach contents frequently to check placement

Question 7

Which feeding type would be best for the client with the jejunostomy tube in place?

A)Intermittent feedings
B)Bolus intermittent feedings
C)Continuous feedings using a closed system
D)Cyclic feedings using an open system

Question 8

The nurse is inserting a small-bore nasogastric tube.Which action by the nurse is appropriate when completing this procedure?

A)Removing the stylet prior to inserting the tube into the client's nose
B)Measuring from the tip of the client's nose to the xiphoid process to determine length of tube to be inserted
C)Checking the nares for patency prior to passing the catheter
D)Applying sterile gloves before beginning the procedure

Question 9

The nurse working in an oncology clinic is caring for a client diagnosed with breast cancer.The client reports anorexia and weight loss.The client's serum albumin is low,and there is visible muscle and fat wasting.Which term will the nurse use when documenting this client's appearance?

A)Malnutrition
B)Undernutrition
C)Overnutrition
D)Protein-calorie malnutrition

Question 10

When assessing the client's nutritional status and needs,which type of assessment is the most important for the nurse to use?

A)A complete nutritional assessment
B)A nutritional screening
C)A comprehensive nutritional assessment
D)An in-depth nutritional assessment

Question 11

The nurse is caring for a client who has no cough or gag reflex and is unable to take nutrients orally.Which device would be an appropriate choice for providing nutrition to this client?

A)A nasogastric tube
B)An orogastric tube
C)A nasoenteric tube
D)A jejunostomy tube

Question 12

The nurse is caring for an older adult client who is weak and has not been eating due to lack of strength.Which task could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

A)Completing a nutritional screening
B)Determining why the client is feeling weak
C)Using therapeutic communication with the client to determine if psychosocial factors are influencing the ability to eat
D)Assisting the client with eating meals

Question 13

The nurse admits an older adult client,who reports following a full liquid diet over the past 3 months.The nurse anticipates this client will have which problems?

A)Low serum iron and high serum albumin
B)Low serum iron and high serum potassium
C)Low serum iron and serum albumin,high serum cholesterol
D)Low serum cholesterol and high serum albumin

Question 14

When discontinuing the nasogastric tube,the nurse instructs the client to complete which action?

A)Cough
B)Take a deep breath and hold it
C)Hold very still
D)Breathe deeply in through the nose and out through the mouth

Question 15

The nurse is assisting the client to eat.Which action by the nurse is the most appropriate?

A)Sitting on the side of the bed while feeding the client
B)Telling the client to sit back and relax while the nurse does all the work
C)Asking what the client would like to eat or drink next
D)Feeding the client quickly to decrease the feeling of being a burden

Question 16

When deciding if parenteral nutrition should be given peripherally or centrally,the nurse recognizes which statement is true?

A)Lipids must be given centrally.
B)The maximum percentage of dextrose that can be given peripherally is up to 10%.
C)Clients requiring long-term parenteral nutrition generally receive it peripherally.
D)Providing parenteral nutrition peripherally cannot meet calorie needs.

Question 17

When administering a bolus enteral feeding,which would not be required documentation by the nurse?

A)Stomach residual found prior to administering the feedings
B)Calories contained within the feeding
C)Client tolerance or concerns
D)Type and quantity of feeding administered

Question 18

Which client would benefit from a clear liquid diet?

A)The client recovering from vomiting and diarrhea
B)The client experiencing malnutrition
C)The client requiring increased protein intake
D)The client with a newly placed gastrostomy tube

Question 19

Which clients would the nurse consider as candidates for an enteral access device?

A)The client who is NPO in preparation for surgery
B)The client with an absent cough and gag reflex
C)The postoperative client who returns to the unit following bowel resection who is unconscious secondary to sedation
D)The client who has dysphagia and is unable to eat orally
E)The client who overdosed on an oral medication

Question 20

The nurse is caring for a client with mild dysphagia.Which diet would the nurse anticipate the health care provider will prescribe for this client?

A)Clear liquids
B)Full liquids
C)Pureed diet
D)Regular diet

Question 21

The nurse is preparing to administer medications via the client's nasogastric feeding tube.When attempting to flush the tube,the nurse realizes that the tube is clogged.Which action by the nurse is the priority?

A)Using coke to unclog the tube
B)Giving the medication orally
C)Using ice water to irrigate the tube
D)Replacing the current tube with a new one