The Nurse Checks a Residual Volume on a Client Receiving

question 11

Multiple Choice

The nurse checks a residual volume on a client receiving enteral feedings at a rate of 125 mL/hr.The nurse would withhold the feeding and notify the prescriber if the residual volume was greater than

• A) 50 mL.
• B) 100 mL.
• C) 175 mL.
• D) 250 mL.

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Definitions:

Orientation Phase

The initial stage in a relationship or process, such as the nurse-patient relationship, where parties get to know each other and understand roles and expectations.

Working Phase

In therapeutic relationships, the stage where the nurse and patient work together to solve problems and accomplish goals.

Patient-centered Care

Healthcare that is respectful of, and responsive to, the preferences, needs, and values of patients, ensuring that patient values guide all clinical decisions.

Culturally Sensitive

An approach that is aware of and respects the differences and diversity of cultural practices and attitudes.