AND SOLUTIONS RATED A+
✔✔A nurse is teaching a client who is starting continuous feedings about the various
types of EN formulas. Which of the following should the nurse include in the teaching?
A. Formula rich in fiber is recommended when starting EN
B. Standard formula contains whole protein
C. Hydrolyzed formula is recommended for a full-functioning GI tract
D. High-calorie formula has increased water content - ✔✔B. Standard formula contain
whole protein
It contains whole protein (milk, meat, eggs) and requires a full-functioning GI tract.
✔✔A nurse is planning care for a client who is receiving EN through continuous
infusion. Which of the following interentions should be included in the plan of care?
(select all that apply)
A. Administer w/an infusion pump
B. Measure residual q8hr
C. Flush feeding tube q4hr
D. Re-instill residual feeding into the stomach
E. Reassess tolerance if residual volume is greater than prescribed amount - ✔✔A.
Administer w/an infusion pump
C. Flush feeding tube q4hr
E. Reassess tolerance if residual volume is greater than prescribed amount
Administering continuous drip EN using an infusion pump ensures the correct volume of
feeding is being fused. Flushing the feeding tube q4hr maintains patency. The client's
tolerance of the amount and type of formula used should be reassessed if the residual
volume is greater than the prescribed amount as this is an indication that the amounts
infused are not being digested.
✔✔A nurse is administering bolus enteral feedings to a client who has malnutrition.
Which of the following are appropriate nursing interventions? (select all that apply)
A. Verify the presence of bowel sounds
B. Flush the feeding tube with warm water
C. Elevate the head of the bed 20 degrees
D. Administer feeding at room temperature
E. Inspect tube insertion site - ✔✔A. Verify the presence of bowel sounds
B. Flush the feeding tube w/warm water
D. Administer feeding at room temperature
E. Inspect tube insertion site
, ✔✔A nurse is preparing to administer intermittent enteral feeding to a client who has
neuromuscular disorder. Which of the following are appropriate nursing interventions?
(select all that apply)
A. Fill the feeding bag w/24hr worth of formula
B. Discard feeding equipment after 24hr
C. Leave unused portions of formula at the bedside
D. Label the unused portion of the formula
E. Elevate the head of the bed for 15min after feeding - ✔✔B. Discard feeding
equipment after 24hr
D. Label the unused portion of the formula
✔✔A nurse is teaching a client about dietary recommendations to lower high BP. Which
of the following statements by the client indicates an understanding of the teaching?
A. My daily Na consumption should be 3000mg
B. I should consume foods low in potassium
C. My limit is 3 cigarettes a day
D. I should consume low-fat dairy products - ✔✔D. I should consume low-fat dairy
products
✔✔A nurse is teaching a client about his-fiber foods that can assist in lowering LDL.
Which of the following foods should the nurse include in the teaching? (select all that
apply)
A. Beans
B. Cheese
C. Whole grains
D. Broccoli
E. Yogurt - ✔✔A. Beans
C. Whole grains
D. Broccoli
✔✔A community health nurse is assessing a client who reports numbness of the hands
and feet for the past 2 weeks. This finding is associated with which of the following
nutritional deficiencies?
A. Folic acid
B. Potassium
C. Vitamin B12
D. Iron - ✔✔C. Vitamin B12
✔✔A nurse is reviewing a client health record that includes a report of weight gain in the
abdomen and lab findings of elevated blood glucose and elevated triglycerides. The