Difficulty: Medium
Average Score: 79%
Simulated
A nurse is assisting with the care of a client who is receiving a continuous tube feeding. The nurse notes residuals of 210 mL. Which of the following actions should the nurse take?
Correct answer
B
Rationale
A residual of 210 mL exceeds typical thresholds (e.g., 200 mL), indicating possible intolerance; holding and notifying the provider is prudent.