a nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube which of the following actions should the nurse take
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Nursing Elites

ATI RN

ATI Nutrition 2024 NGN Exam

1. A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse take?

Correct answer: D

Rationale: Flushing the client's tube with 30 mL of water every 4 hours helps maintain tube patency and prevent blockages.

2. A nurse is reviewing the laboratory findings of a client who has heart failure. Which of the following findings indicates that the client is experiencing fluid volume excess?

Correct answer: A

Rationale: A BUN level of 8 mg/dL is indicative of fluid volume excess, which is common in clients with heart failure.

3. A nurse is providing dietary teaching to a client who has a new diagnosis of gastroesophageal reflux disease. Which of the following foods or beverages should the nurse recommend to minimize heartburn?

Correct answer: D

Rationale: The correct answer is D: Potatoes. Potatoes are bland and less likely to relax the lower esophageal sphincter, making them a good choice for minimizing heartburn in clients with GERD. Choices A, B, and C are incorrect. Orange juice and peppermint can exacerbate GERD symptoms due to their acidic or relaxing effects on the esophageal sphincter. Decaffeinated coffee, although lower in caffeine, is still acidic and can trigger heartburn in individuals with GERD.

4. A nurse is teaching about implementing a heart-healthy diet to a client who has coronary artery disease. Which of the following foods should the nurse recommend to the client?

Correct answer: C

Rationale: Broiled salmon is a heart-healthy food due to its high omega-3 fatty acid content, which helps reduce inflammation and improve cardiovascular health.

5. A nurse is reviewing the lab findings of a client who has Clostridium Difficile. Which of the following findings should indicate to the nurse that the client is experiencing Fluid Volume Deficit?

Correct answer: A

Rationale: An elevated hematocrit level (Hct 53%) indicates hemoconcentration, a sign of fluid volume deficit.

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