Difficulty: Medium
Average Score: 83%
Simulated
Passage / Scenario
Infant receiving intermittent enteral feedings through a gastrostomy tubeA nurse is caring for an infant who receives intermittent enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take when administering a feeding?
Correct answer
A,B,D
Rationale
Correct Answer: A, B, D
Rationale:
A: Offering a pacifier during feedings can help soothe the infant and promote sucking reflex, aiding in the feeding process.
B: Checking for residual volumes by aspirating stomach contents helps prevent overfeeding and monitor tolerance of feedings.
D: Instilling the formula over a period of 30 to 45 minutes allows for gradual delivery, reducing the risk of aspiration or discomfort.
Summary:
C: Placing the infant in the supine position can increase the risk of aspiration during feedings.
E: Heating the formula to 39┬░C may alter the nutritional content and pose a risk of burning the infant's mouth.
Therefore, choices C and E are incorrect in this context.
Rationale:
A: Offering a pacifier during feedings can help soothe the infant and promote sucking reflex, aiding in the feeding process.
B: Checking for residual volumes by aspirating stomach contents helps prevent overfeeding and monitor tolerance of feedings.
D: Instilling the formula over a period of 30 to 45 minutes allows for gradual delivery, reducing the risk of aspiration or discomfort.
Summary:
C: Placing the infant in the supine position can increase the risk of aspiration during feedings.
E: Heating the formula to 39┬░C may alter the nutritional content and pose a risk of burning the infant's mouth.
Therefore, choices C and E are incorrect in this context.