When Assisting with the Plan of Care for a Client

question 19

Multiple Choice

When assisting with the plan of care for a client receiving tube feedings, which of the following would the nurse include to reduce the client's risk for aspiration?

• A) Aspirating for residual contents every 4 to 8 hours.
• B) Administering 15 to 30 mL of water every 4 hours.
• C) Giving the feedings at room temperature.
• D) Keeping the client in a semi-Fowler's position at all times.

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Definitions:

Posterior Hypothalamus

The back part of the hypothalamus that plays a role in thermoregulation, responding to the body's temperature changes.

Vasoconstriction

The narrowing of blood vessels by small muscles in their walls, which decreases blood flow and increases blood pressure.

Vasodilation

The widening of blood vessels, which decreases blood pressure and allows more blood to flow to different parts of the body.

Hyperthermia

An abnormally high body temperature, often caused by prolonged exposure to high temperatures or medical conditions, leading to heat-related illnesses.