ATI FUNDAMENTALS OF NURSING Questions and Correct Answers.

Delegating Correct Answer The process of transferring the authority and responsibility to another member of the health care team to complete a task while retaining the accountability. What kind of pump is required for intestinal tube feedings? Correct Answer An infusion pump Supervising Correct Answer The process of directing, monitoring, and evaluating the performance of tasks by another member of the health care team. When should you discard feeding formula? Correct Answer After 24 hrs How often should you check gastric residual? Correct Answer Every 4 to 8 hr What should you do when gastric residual exceeds 250 mL for each of two consecutive assessments? Correct Answer Withhold the feeding Notify the provider Maintain semi-Fowler's position Recheck residual in 1 hr What should you do when patient on feeding has diarrhea three times or more in a 24-hr period? Correct Answer Notify the provider Confer with dietician Provide skin care and protection What should you do when patient has nausea or vomiting on feeding? Correct Answer Withhold the feeding Turn the client to side Notify the provider Check the tube's patency Aspirate for residual Auscultate for bowel sounds Obtain a chest x-ray What should you do if your patient aspirates the feeding formula? Correct Answer Withhold the feeding Turn the client to the side Suction the airway Provide oxygen if indicated Monitor vital signs for elevated temperature Monitor oxygen saturation or increased respiratory rate