A Patient Is Mechanically Ventilated and Is Receiving Enteral Nutrition

question 24

Multiple Choice

A patient is mechanically ventilated and is receiving enteral nutrition via a nasogastric tube.To help ensure feeding tolerance,the nurse checks residual volumes every 4 hours.During a residual check later in the shift,the nurse aspirates a total residual volume of 350 mL.What action should the nurse take next?

• A) Stop the tube feeding, wait 1 hour, and recheck the residual
• B) Discontinue tube feeding and call the practitioner for parenteral nutrition orders
• C) Continue the tube feeding if no other gastrointestinal symptoms exist and reassess the patient with the next residual check
• D) Continue the tube feeding and place the patient in the left lateral decubitus position to facilitate gastric emptying

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Definitions:

Epigenetic Molecules

Chemical substances involved in the epigenetic process, which regulates gene expression without altering the DNA sequence.

Protein Molecules

Large, complex molecules that play many critical roles in the body, built from chains of amino acids essential for structure, function, and regulation of the body's tissues and organs.

Temperaments

Inherent personality traits and dispositions that influence how individuals react to their environment, evident from birth and forming the basis of later personality.

Genomes

The complete set of DNA, including all of its genes, in an organism or a cell.