Nokea
A nurse is preparing to administer a gavage feeding via nasogastric tube to a preterm newborn who is receiving supplemental oxygen. Which of the following actions should the nurse take?
- A. Stabilize the tube with tape to the newborn's forehead.
- B. Remove supplemental oxygen during the feeding.
- C. Measure the stomach aspirate prior to the feeding.
- D. Place the newborn on her left side for 30 min after the feeding.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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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?
- A. Orange juice
- B. Decaffeinated coffee
- C. Peppermint
- D. Potatoes
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.
A nurse is developing a plan of care for a client who has anorexia nervosa. Which of the following actions should the nurse include in the plan?
- A. Encourage the client to participate in developing a system of rewards.
- B. Arrange for someone to remain with the client for 30 min after meals
- C. Offer the client a selection of beverages at each meal.
- D. Inform the client that a weight gain of 2.3 kg per week is expected.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is providing teaching to an obese client who has gestational diabetes and is at 25 weeks of gestation. Which of the following statements made by the client indicates a need for further teaching?
- A. This does not mean that my baby will have this disease.
- B. This means that I will have diabetes for the rest of my life.
- C. If I feel dizzy, I should drink six ounces of a non-diet soda.
- D. Being obese might be one reason why I developed diabetes.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is caring for a client who has a small-bore jejunostomy and is receiving a continuous tube feeding with a high-viscosity formula. Which of the following actions should the nurse take to prevent the tubing from clogging?
- A. Replace the bag and tubing every 24 hr
- B. Flush the tubing with 10 mL water every 6 hr
- C. Admin the feeding by gravity drip
- D. Heat the formula prior to infusion
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is discussing denture care with the partner of a client who is unable to perform oral hygiene. Which of the following should be included in the discussion?
- A. Floss dentures as part of daily cleaning.
- B. Wipe dentures before storing them in a dry container at night.
- C. Wrap gloved fingers with gauze to remove dentures.
- D. Use a washcloth to clean the denture surfaces.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.