Leadership ATI Exam |Questions with 100%
verified Answers
The steps in administering intermittent NG tube feedings include the following:
1- Have the formula and a 60-mL syringe prepared
2- Remove the plunger from the syringe
3- Hold the tubing above the instillation site
3- Open the stopcock on the tubing, and insert the barrel of the syringe with the end up
4- Fill the syringe with 40 to 50 mL of formula
5- If using a feeding bag, fill the bag with the total amount of formula prescribed for one
feeding, and hang it to drain via gravity until empty (about 30 min)
6- If using a syringe, hold it high enough for the formula to empty gradually via gravity
7-Continue to refill the syringe until the amount prescribed for the feeding is instilled
8-Flush with tap water after infusion is complete
9-Clamp the NG tube once the feeding and flushing are complete
Positioning with Ng feeding - ✔️✔️The head of the bed should be positioned at a minimum of 30°
elevation to prevent aspiration from reflux during feedings
,The greatest risk to a client receiving enteral feedings is injury from aspiration
Therefore, the priority nursing action before initiating an enteral feeding is to determine
proper placement of the tube and maintain the client in semi-Fowler's position during the
feeding
- If aspiration of formula is suspected, the first action the nurse should take is to stop the
feeding
Other actions should include the following:
Turn the client to the side
Suction the airway
Provide oxygen if indicated
Monitor the client's vital signs for elevated temperature
Auscultate breath sounds for increased congestion
Notify the provider
Obtain a chest x-ray
acute pancreatitis - ✔️✔️After addressing the pain the nurse should:
, rest the pancreas and reduce secretion of pancreatic enzymes, oral fluids and food are
withheld during the acute phase of pancreatitis
The most effective way to recognize someone's abilities and contributions is through direct,
immediate feedback. Direct communication of both positive and negative feedback fosters
teamwork - ✔️✔️The most effective way to recognize someone's abilities and contributions is
through direct, immediate feedback. Direct communication of both positive and negative
feedback fosters teamwork
Treatment for alcohol withdrawal - ✔️✔️Illusions present the greatest safety risk to the client
and are therefore the priority finding
Findings:
- Increased heart rate is a finding that can occur during alcohol withdrawal
- Diaphoresis is a finding that can occur during alcohol withdrawal
- Vitamin deficiency is a finding that can occur during alcohol withdrawal
- Give vitamin B12
when nurse sees a change in a client's behavior such as - ✔️✔️- Meaningless phrases, worry
A mixture of words or phrases that lack meaning are characterized by loose association in
clients who have schizophrenia
It is an indication of disorientation, disorganization, and an alteration in mental cognition
verified Answers
The steps in administering intermittent NG tube feedings include the following:
1- Have the formula and a 60-mL syringe prepared
2- Remove the plunger from the syringe
3- Hold the tubing above the instillation site
3- Open the stopcock on the tubing, and insert the barrel of the syringe with the end up
4- Fill the syringe with 40 to 50 mL of formula
5- If using a feeding bag, fill the bag with the total amount of formula prescribed for one
feeding, and hang it to drain via gravity until empty (about 30 min)
6- If using a syringe, hold it high enough for the formula to empty gradually via gravity
7-Continue to refill the syringe until the amount prescribed for the feeding is instilled
8-Flush with tap water after infusion is complete
9-Clamp the NG tube once the feeding and flushing are complete
Positioning with Ng feeding - ✔️✔️The head of the bed should be positioned at a minimum of 30°
elevation to prevent aspiration from reflux during feedings
,The greatest risk to a client receiving enteral feedings is injury from aspiration
Therefore, the priority nursing action before initiating an enteral feeding is to determine
proper placement of the tube and maintain the client in semi-Fowler's position during the
feeding
- If aspiration of formula is suspected, the first action the nurse should take is to stop the
feeding
Other actions should include the following:
Turn the client to the side
Suction the airway
Provide oxygen if indicated
Monitor the client's vital signs for elevated temperature
Auscultate breath sounds for increased congestion
Notify the provider
Obtain a chest x-ray
acute pancreatitis - ✔️✔️After addressing the pain the nurse should:
, rest the pancreas and reduce secretion of pancreatic enzymes, oral fluids and food are
withheld during the acute phase of pancreatitis
The most effective way to recognize someone's abilities and contributions is through direct,
immediate feedback. Direct communication of both positive and negative feedback fosters
teamwork - ✔️✔️The most effective way to recognize someone's abilities and contributions is
through direct, immediate feedback. Direct communication of both positive and negative
feedback fosters teamwork
Treatment for alcohol withdrawal - ✔️✔️Illusions present the greatest safety risk to the client
and are therefore the priority finding
Findings:
- Increased heart rate is a finding that can occur during alcohol withdrawal
- Diaphoresis is a finding that can occur during alcohol withdrawal
- Vitamin deficiency is a finding that can occur during alcohol withdrawal
- Give vitamin B12
when nurse sees a change in a client's behavior such as - ✔️✔️- Meaningless phrases, worry
A mixture of words or phrases that lack meaning are characterized by loose association in
clients who have schizophrenia
It is an indication of disorientation, disorganization, and an alteration in mental cognition
