ANATOMY
GASTRO INTESTINAL
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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To know how to test the position of the tube
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To read how to insert the tube feed
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To follow tube feed instructions
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To learn how to speed up the tube feed rate
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Detailed explanation-1: -Which of the following actions should the nurse take to verify tube placement before administering the initial feeding? Obtain a radiography. Verification for tube placement with radiography is the gold standard for tube placement before any secretions are aspirated or feedings are initiated.
Detailed explanation-2: -When beginning enteral feedings, monitor the patient for feeding tolerance. Assess the abdomen by auscultating for bowel sounds and palpating for rigidity, distention, and tenderness. Know that patients who complain of fullness or nausea after a feeding starts may have higher a GRV.
Detailed explanation-3: -Initially, monitoring of gastric residual was recommended to help prevent ventilator-associated pneumonia (VAP) and for the evaluation of feeding intolerance. The theory behind checking residuals is based on the assumption that a full stomach predisposes ventilated patients to aspiration and VAP.