RNSG 1430 Nutrition questions with verified answers
A nurse is administering a tube feeding for a patient who is post bowel surgery.
When attempting to aspirate the contents, the nurse notes that the tube is
clogged. What would be the nurse's next action following this assessment?
A. Use warm water or air and gentle pressure to remove the clog.
B. Use a stylet to unclog the tubes.
C. Administer cola to remove the clog.
D. Replace the tube with a new one. Ans✓✓✓ A. In order to remove a clog in a
feeding tube, the nurse should try using warm water or air and gentle pressure to
unclog it. A stylet should never be used to unclog a tube, and cola and meat
tenderizers have not been shown effective in removing clogs. The nurse should
first attempt to remove the clog, and if unsuccessful, the tube should be replaced.
A nurse is assessing a patient who has been NPO (nothing by mouth) prior to
abdominal surgery. The patient is ordered a clear liquid diet for breakfast, to
advance to a house diet as tolerated. Which assessments would indicate to the
nurse that the patient's diet should not be advanced?
A. The patient consumed 75% of the liquids on her breakfast tray.
B. The patient tells you she is hungry.
C. The patient's abdomen is soft, nondistended, with bowel sounds.
D. The patient reports fullness and diarrhea after breakfast. Ans✓✓✓ D.
Tolerance of diet can be assessed by the following: absence of nausea, vomiting,
and diarrhea; absence of feelings of fullness; absence of abdominal pain and
distention; feelings of hunger; and the ability to consume at least 50% to 75% of
the food on the meal tray.
, A nurse is calculating the body mass index (BMI) of a 35-year-old male patient
who is extremely obese. The patient's height is 5′6″ and his current weight is 325
lb. What would the nurse document as his BMI?
S. 50.5
B. 52.4
C. 54.5
D. 55.2 Ans✓✓✓ B. BMI = 52.4
A nurse is caring for a newly placed gastrostomy tube of a postoperative patient.
Which nursing action is performed correctly?
A.The nurse dips a cotton-tipped applicator into sterile saline solution and gently
cleans around the insertion site.
B. The nurse wets a washcloth and washes the area around the tube with soap
and water.
C. The nurse adjusts the external disk every 3 hours to avoid crusting around the
tube.
D. The nurse tapes a gauze dressing over the site after cleansing it. Ans✓✓✓ A.
When caring for a new gastrostomy tube, the nurse would use a cotton-tipped
applicator dipped in sterile saline to gently cleanse the area, removing any crust
or drainage. The nurse would not use a washcloth with soap and water on a new
gastrostomy tube, but may use this method if the site is healed. Also, once the
sutures are removed, the nurse should rotate the external bumper 90 degrees
once a day. The nurse should leave the site open to air unless there is drainage. If
there is drainage, one thickness of precut gauze should be placed under the
external bumper and changed as needed to keep the area dry.
A nurse is administering a tube feeding for a patient who is post bowel surgery.
When attempting to aspirate the contents, the nurse notes that the tube is
clogged. What would be the nurse's next action following this assessment?
A. Use warm water or air and gentle pressure to remove the clog.
B. Use a stylet to unclog the tubes.
C. Administer cola to remove the clog.
D. Replace the tube with a new one. Ans✓✓✓ A. In order to remove a clog in a
feeding tube, the nurse should try using warm water or air and gentle pressure to
unclog it. A stylet should never be used to unclog a tube, and cola and meat
tenderizers have not been shown effective in removing clogs. The nurse should
first attempt to remove the clog, and if unsuccessful, the tube should be replaced.
A nurse is assessing a patient who has been NPO (nothing by mouth) prior to
abdominal surgery. The patient is ordered a clear liquid diet for breakfast, to
advance to a house diet as tolerated. Which assessments would indicate to the
nurse that the patient's diet should not be advanced?
A. The patient consumed 75% of the liquids on her breakfast tray.
B. The patient tells you she is hungry.
C. The patient's abdomen is soft, nondistended, with bowel sounds.
D. The patient reports fullness and diarrhea after breakfast. Ans✓✓✓ D.
Tolerance of diet can be assessed by the following: absence of nausea, vomiting,
and diarrhea; absence of feelings of fullness; absence of abdominal pain and
distention; feelings of hunger; and the ability to consume at least 50% to 75% of
the food on the meal tray.
, A nurse is calculating the body mass index (BMI) of a 35-year-old male patient
who is extremely obese. The patient's height is 5′6″ and his current weight is 325
lb. What would the nurse document as his BMI?
S. 50.5
B. 52.4
C. 54.5
D. 55.2 Ans✓✓✓ B. BMI = 52.4
A nurse is caring for a newly placed gastrostomy tube of a postoperative patient.
Which nursing action is performed correctly?
A.The nurse dips a cotton-tipped applicator into sterile saline solution and gently
cleans around the insertion site.
B. The nurse wets a washcloth and washes the area around the tube with soap
and water.
C. The nurse adjusts the external disk every 3 hours to avoid crusting around the
tube.
D. The nurse tapes a gauze dressing over the site after cleansing it. Ans✓✓✓ A.
When caring for a new gastrostomy tube, the nurse would use a cotton-tipped
applicator dipped in sterile saline to gently cleanse the area, removing any crust
or drainage. The nurse would not use a washcloth with soap and water on a new
gastrostomy tube, but may use this method if the site is healed. Also, once the
sutures are removed, the nurse should rotate the external bumper 90 degrees
once a day. The nurse should leave the site open to air unless there is drainage. If
there is drainage, one thickness of precut gauze should be placed under the
external bumper and changed as needed to keep the area dry.
